1. The World Bank Case study from Albania: Hospital catering in the Mother Theresa Hospital in Tirana Katja Kerschbaumer

2. The World Bank Problems before PPP Patients dissatisfied 80% of food refused Poorly equipped central kitchen Electricity and running water not always available Food intended for patients ended up in hands of hospital employees

3. The World Bank Steps towards catering contract Decision to outsource to a specialized catering company Assessment of needs Calculation of services Preparation of tender documents

4. The World Bank Contract Value: $ 66,000, awarded to Italian firm Adjusted twice/year (inflation) Delivery of 1,125 meals/day Different diets for different illnesses Construction of a new fully equipped central kitchen Training for employees Purchase of foodstuffs, general expenses, maintenance costs 10 years + 7 years

5. The World Bank Responsibilities of parties Company invested $ 700,000 in building and furnishing new kitchen, upgrading electrical & heating systems, improving delivery services and staff training Hospital provides space and makes fixed monthly payment

6. The World Bank Results Improved food quality Increased patient satisfaction Problem: distribution by hospital employees; food often does not reach patient

7. The World Bank Thank you! kkerschbaumer@worldbank.org