The aim of this study was to develop an engagement strategy with the private for-profit health sector in Uttar Pradesh, India. The broader underlying goal is to develop and pilot a district level Data Informed Platform for Health (DIPH) for improved local health decision-making in maternal and child health including both the public and private health sectors. The DIPH is a framework to guide coordination, bringing together key data from public and private health sectors on inputs and processes that could influence maternal and newborn health. The key data will be synthesised to create a measure of programme implementation strength for each local area, which in turn can be used in the evaluation of the effects of large-scale programmes on health outcomes.

Summary of findings

In India, public-private partnerships for service delivery and financing represent a key area of engagement with the private sector, especially for maternal and child health. Examples include the Merrygold network, a clinical social franchise, and the Sambhav voucher scheme, in which poor households can exchange vouchers for health services in selected city hospitals in Uttar Pradesh. Engagements related to data recording and reporting from the private health sector have been less successful. There are gaps in reporting even notifiable diseases like Tuberculosis. There is limited data available on the private sector at the national level. Legal provisions can facilitate data exchange and synthesis: a binding legal framework may be available when the Clinical Establishments Act, passed by the Indian Parliament in 2010, is implemented.