Healthy Partnerships : How Governments Can Engage the Private Sector to Improve Health in Africa

Health systems across Africa are in urgent need of improvement. The public sector should not be expected to shoulder the burden of directly providing the needed services alone, nor can it, given the current realities of African health systems. Therefore to achieve necessary improvements, governments will need to rely more heavily on the private health sector. Indeed, private providers already play a significant role in the health sector in Africa and are expected to continue to play a key role, and private providers serve all income levels across sub- Saharan Africa's health systems. The World Health Organization (WHO) and others have identified improvements in the way governments interact with and make use of their private health sectors as one of the key ingredients to health systems improvements. Across the African region, many ministries of health are actively seeking to increase the contributions of the private health sector. However, relatively little is known about the details of engagement; that is, the roles and responsibilities of the players, and what works and what does not. A better understanding of the ways that governments and the private health sector work together and can work together more effectively is needed. This Report assesses and compares the ways in which African governments are engaging with their private health sectors. Engagement is defined, for the purposes of this report, to mean the deliberate, systematic collaboration of the government and the private health sector according to national health priorities, beyond individual interventions and programs. With effective engagement, one of the main constraints to better private sector contributions can be addressed, which in turn should improve the performance of health systems overall.

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Bibliographic Details
Main Author: International Finance Corporation
Language:English
Published: World Bank 2011
Subjects:ABILITY TO PAY, ACCESS TO FAMILY PLANNING, ACCESS TO SERVICES, AGED, ALLOCATION OF RESOURCES, BABY, BIRTH ATTENDANT, BIRTH ATTENDANTS, CENTER FOR HEALTH, CESAREAN SECTION, CHILD CARE, CHILD HEALTH, CHILDBIRTH, CIVIL SOCIETY ORGANIZATIONS, CLINICAL PRACTICE, CLINICS, COMMUNICABLE DISEASES, COMMUNITY HEALTH, COMPETITION AMONG PROVIDERS, CONTRACEPTION, CRITICAL CARE, DEATH RATE, DEATHS, DEVELOPING COUNTRIES, DISEASE CONTROL, DISPENSARIES, DISSEMINATION, DOCTORS, DRUGS, EMERGENCIES, EPIDEMIC, EXISTING RESOURCES, FAMILY PLANNING, FINANCIAL INCENTIVES, FINANCIAL INTEREST, FINANCIAL RESOURCES, FINANCING HEALTH CARE, FINANCING OF HEALTH CARE, FOREIGN DIRECT INVESTMENT, FRACTURES, GLOBAL POPULATION, GROSS DOMESTIC PRODUCT, HEALTH CARE, HEALTH CARE ACCESS, HEALTH CARE DELIVERY, HEALTH CARE FACILITIES, HEALTH CARE MARKETS, HEALTH CARE PROVIDER, HEALTH CARE PROVIDERS, HEALTH CARE PROVISION, HEALTH CARE SECTOR, HEALTH CARE SERVICE DELIVERY, HEALTH CARE SERVICES, HEALTH CARE SPENDING, HEALTH CARE SYSTEM, HEALTH CARE SYSTEMS, HEALTH CENTERS, HEALTH DATA, HEALTH DATABASE, HEALTH EXPENDITURE, HEALTH EXPENDITURE BY SOURCE, HEALTH FACILITIES, HEALTH FINANCING, HEALTH INFORMATION, HEALTH INSURANCE, HEALTH INSURANCE COVERAGE, HEALTH INTERVENTIONS, HEALTH MAINTENANCE, HEALTH MAINTENANCE ORGANIZATION, HEALTH MANAGEMENT, HEALTH ORGANIZATION, HEALTH ORGANIZATIONS, HEALTH OUTCOMES, HEALTH POLICY, HEALTH PROVIDERS, HEALTH PROVISION, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICE DELIVERY, HEALTH SERVICE PROVIDERS, HEALTH SERVICES, HEALTH SYSTEM, HEALTH SYSTEM PERFORMANCE, HEALTH SYSTEMS, HEALTH SYSTEMS STRENGTHENING, HEALTH WORKERS, HEALTH-CARE, HEALTH-CARE PROVIDERS, HEALTH-CARE SERVICES, HIV, HMO, HOSPITAL, HOSPITALS, HUMAN IMMUNODEFICIENCY VIRUS, HUMAN RIGHT, ILLNESS, IMMUNIZATION, IMMUNODEFICIENCY, IMPACT EVALUATIONS, INCOME, INDEXES, INFORMAL CARE, INFORMAL SECTOR, INFORMATION SYSTEMS, INTERMEDIARIES, INTERNATIONAL ORGANIZATIONS, INTERVENTION, LAWS, LEGAL STATUS, LIFE EXPECTANCY, LIFE EXPECTANCY AT BIRTH, LIVING STANDARDS, MALARIA, MATERNAL HEALTH, MATERNAL MORTALITY, MATERNAL MORTALITY RATIO, MEASLES, MEDICAL CARE, MEDICAL EDUCATION, MEDICAL PERSONNEL, MEDICAL PROFESSIONALS, MEDICAL STAFF, MEDICAL SUPPLIES, MEDICINES, MIDWIFE, MILLENNIUM DEVELOPMENT GOALS, MINISTRIES OF HEALTH, MINISTRY OF HEALTH, MODERN FAMILY, MODERN FAMILY PLANNING, MODERN FAMILY PLANNING METHODS, MORTALITY, MORTALITY RATE, NATIONAL GOVERNMENTS, NATIONAL HEALTH, NATIONAL HEALTH INSURANCE, NATIONAL HEALTH INSURANCE FUND, NATIONAL HEALTH SYSTEM, NATIONAL LEVEL, NATIONAL POLICIES, NATURE OF HEALTH, NONGOVERNMENTAL ORGANIZATIONS, NONPROFIT SECTOR, NURSES, NUTRITION, OFFICIAL POLICY, PATIENT, PATIENTS, PHARMACIES, PHARMACISTS, PHARMACY, PHYSICIAN, PHYSICIANS, POCKET PAYMENTS, POLICY DISCUSSIONS, POLICY FRAMEWORK, POLICY MAKERS, POLITICAL PROCESS, POOR NUTRITION, PPM, PRACTITIONERS, PREGNANCY, PREGNANT WOMEN, PRENATAL CARE, PRIMARY CARE, PRIVATE CARE, PRIVATE CLINICS, PRIVATE DOCTORS, PRIVATE HEALTH INSURANCE, PRIVATE HEALTH SERVICES, PRIVATE HOSPITALS, PRIVATE SECTOR, PRIVATE SECTORS, PRIVATE SERVICES, PROGRESS, PROVISION OF CARE, PROVISION OF HEALTH CARE, PROVISION OF SERVICES, PUBLIC HEALTH, PUBLIC HEALTH CARE, PUBLIC HEALTH PROGRAMS, PUBLIC HEALTH SERVICES, PUBLIC HEALTH SPENDING, PUBLIC HOSPITALS, PUBLIC PROVIDERS, PUBLIC PROVISION, PUBLIC SCHEMES, PUBLIC SECTOR, PUBLIC SPENDING, QUALITY CONTROL, QUALITY OF CARE, QUALITY SERVICES, REGULATORY FRAMEWORKS, REPRODUCTIVE AGE, RESPECT, RURAL POPULATIONS, SERVICE PROVIDER, SHARE OF HEALTH SPENDING, SKILLED ATTENDANTS, SKILLED WORKERS, SURGERY, TECHNICAL ASSISTANCE, TETANUS, TRADITIONAL BIRTH ATTENDANT, TRADITIONAL HEALERS, TUBERCULOSIS, TUBERCULOSIS CASES, URBAN SLUMS, VACCINES, WALKING, WOMAN, WORKERS, WORLD HEALTH ORGANIZATION,
Online Access:http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000386194_20110518050813
https://hdl.handle.net/10986/2304
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Summary:Health systems across Africa are in urgent need of improvement. The public sector should not be expected to shoulder the burden of directly providing the needed services alone, nor can it, given the current realities of African health systems. Therefore to achieve necessary improvements, governments will need to rely more heavily on the private health sector. Indeed, private providers already play a significant role in the health sector in Africa and are expected to continue to play a key role, and private providers serve all income levels across sub- Saharan Africa's health systems. The World Health Organization (WHO) and others have identified improvements in the way governments interact with and make use of their private health sectors as one of the key ingredients to health systems improvements. Across the African region, many ministries of health are actively seeking to increase the contributions of the private health sector. However, relatively little is known about the details of engagement; that is, the roles and responsibilities of the players, and what works and what does not. A better understanding of the ways that governments and the private health sector work together and can work together more effectively is needed. This Report assesses and compares the ways in which African governments are engaging with their private health sectors. Engagement is defined, for the purposes of this report, to mean the deliberate, systematic collaboration of the government and the private health sector according to national health priorities, beyond individual interventions and programs. With effective engagement, one of the main constraints to better private sector contributions can be addressed, which in turn should improve the performance of health systems overall.