Private Health Sector Assessment in Mali : The Post-Bamako Initiative Reality

This country assessment of the private health sector in Mali is part of a series of studies designed to deepen understanding of ways to enhance the health policy framework, business environment, and investment climate in which the private health sector operates in African countries. The Malian health system has evolved dramatically since the middle of the 1980s. A large part of the analysis in this report relies on the reprocessing and the mining of existing databases, the financial and macroeconomic models based on those data, and elements reconstructed through triangulation. Those calculations proved indispensable for assessing the main demographic trends in the private sector, for estimating the growth of community centers (CSCOMs) and private mutual insurance, and identifying how to reinforce them. The growth of the private sector is further held back by insufficient educational preparation for practice in the private sector and in rural areas. For-profit and not-for-profit health care providers, pharmacies, and schools should be given beefier access to funding during start-up. Other financial engineering strategies (participation, etc.) could also be devised. The government of Mali has an opportunity to take advantage the large and dynamic private health sector in contributing to its national health care objectives and outcomes. The study describes the various instruments of stewardship towards the private sector that could be used such as information, regulations, financing and direct provision of public services in areas of significant market failure.

Bibliographic Details

Main Authors:	Lamiaux, Mathieu, Rouzaud, François, Woods, Wendy
Format:	Publication biblioteca
Language:	English
Published:	World Bank 2012-03-19T09:04:12Z
Subjects:	ADMINISTRATIVE CONTROL, ADULT LITERACY, ADVOCACY ROLE, AGED, AGGRESSIVE, APPLICABLE LAW, BABY, CENTER FOR HEALTH, CHILD MORTALITY, CHILD MORTALITY RATE, CHILDREN, CHILDREN PER WOMAN, CHOICE, CHOICE OF PROVIDERS, CITIES, CLEANLINESS, CLINICAL PATHWAYS, COMMUNITY CENTERS, COMMUNITY HEALTH, COMMUNITY HEALTH CARE, COMMUNITY HEALTH CENTER, COMMUNITY PARTICIPATION, COMMUNITY SERVICES, COOPERATION, COST STRUCTURE, COSTS, DEBT, DELIVERY OF HEALTH CARE, DELIVERY OF HEALTH CARE SERVICES, DEMAND, DEMAND FOR HEALTH, DEMAND FOR HEALTH CARE, DEMAND FOR HEALTH SERVICES, DEMOGRAPHIC GROWTH, DEMOGRAPHIC TRENDS, DENTISTRY, DEVELOPMENT POLICY, DISABLED PEOPLE, DISSEMINATION, DOCTORS, EMPLOYMENT, ENFORCEMENT MECHANISMS, EQUITY, ESSENTIAL DRUGS, EVALUATION, EXERCISES, FEES, FINANCIAL BALANCE, FORECASTS, GOVERNMENT POLICIES, HEALTH, HEALTH BEHAVIOR, HEALTH CARE, HEALTH CARE DECISIONS, HEALTH CARE DELIVERY, HEALTH CARE EXPENDITURES, HEALTH CARE INSURANCE, HEALTH CARE NETWORKS, HEALTH CARE PERSONNEL, HEALTH CARE POLICIES, HEALTH CARE POLICY, HEALTH CARE PROFESSIONALS, HEALTH CARE PROVIDER, HEALTH CARE PROVIDERS, HEALTH CARE PROVISION, HEALTH CARE SECTOR, HEALTH CARE SERVICES, HEALTH CARE SYSTEM, HEALTH CENTERS, HEALTH CONDITIONS, HEALTH EDUCATION, HEALTH EQUIPMENT, HEALTH EXPENDITURES, HEALTH FACILITIES, HEALTH INDUSTRY, HEALTH INFORMATION, HEALTH INSURANCE, HEALTH INSURANCE COVERAGE, HEALTH ORGANIZATION, HEALTH POLICY, HEALTH PROFESSIONALS, HEALTH PROFESSIONS, HEALTH PROVIDERS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH SYSTEM, HEALTH WORKERS, HIV/AIDS, HOSPITALIZATION, HOSPITALS, HOUSEHOLD INCOME, HUMAN DEVELOPMENT, HUMAN RESOURCES, HUMAN RESOURCES DEVELOPMENT, ILLNESS, ILLNESSES, IMPLEMENTATION, INCENTIVES, INCOME, INFANT, INFORMAL SECTOR, INPATIENT CARE, INSTITUTIONALIZATION, INSURANCE ARRANGEMENTS, INSURANCE COMPANIES, INSURANCE SCHEMES, INSURANCE SYSTEM, INSURERS, INTEGRATION, INTERNET, INTERVIEW, KNOWLEDGE, LAWS, LEGAL FRAMEWORK, LEGAL STATUS, LIFE EXPECTANCY, LIFE EXPECTANCY AT BIRTH, LIMITED RESOURCES, LOCAL AUTHORITIES, LOCAL COMMUNITIES, MANAGEMENT OF HEALTH, MANDATES, MARKETING, MATERNAL MORTALITY, MATERNAL MORTALITY RATE, MEDICAL CARE, MEDICAL PRACTICES, MEDICAL PROFESSIONALS, MEDICATION, MEDICINES, MIDWIFE, MIDWIVES, MILLENNIUM DEVELOPMENT GOALS, MINISTRIES OF HEALTH, MINISTRY OF HEALTH, MONITORING, MORBIDITY, MORTALITY, NATIONAL COUNCIL, NATIONAL HEALTH, NATIONAL HEALTH EXPENDITURES, NATIONAL PLAN, NATIONAL POLICY, NATURE OF HEALTH, NONGOVERNMENTAL ORGANIZATIONS, NUMBER OF PEOPLE, NURSES, NURSING, OUTPATIENT CARE, PATIENT, PATIENTS, PEOPLE, PHARMACEUTICAL SECTOR, PHARMACIES, PHARMACISTS, PHARMACY, PHYSICIAN, PHYSICIANS, POLICY ANALYSIS, POLICY DOCUMENT, POLICY FRAMEWORK, POLICY PROCESS, POLICY-MAKING BODIES, POPULATION, POPULATION DIVISION, POVERTY, PPM, PRACTITIONERS, PREGNANT WOMEN, PRENATAL CARE, PRICE STRUCTURE, PRIMARY CARE, PRIMARY HEALTH CARE, PRIMARY HEALTH CARE SERVICES, PRIMARY HEALTH SERVICES, PRIVATE HOSPITALS, PRIVATE SECTOR, PRIVATE SECTORS, PROFESSIONAL ASSOCIATIONS, PROGRESS, PUBLIC EXPENDITURE, PUBLIC HEALTH, PUBLIC HEALTH CARE, PUBLIC HOSPITAL, PUBLIC HOSPITALS, PUBLIC POLICY, PUBLIC PROVIDERS, PUBLIC SECTOR, PUBLIC SERVICE, PUBLIC SERVICES, PUBLICATIONS, QUALITY CONTROL, QUALITY OF CARE, QUALITY SERVICES, RICHER POPULATIONS, RISK, RURAL AREAS, RURAL HEALTH CARE, RURAL POPULATION, SERVICE QUALITY, SET OF RECOMMENDATIONS, SOCIAL ACTION, SOCIAL DEVELOPMENT, SOCIAL INSURANCE, SOCIAL MOBILIZATION, SOCIAL SECTORS, SOCIAL SECURITY, SOCIAL SUPPORT, STRATEGY, STUDENTS, SURGERY, TRADITIONAL HEALERS, TRAINING, TRAINING OF HEALTH PROFESSIONALS, TRANSFER OF SKILLS, UNIONS, URBAN AREAS, VACCINATION, VACCINE COVERAGE, VISITS, VULNERABLE POPULATIONS, WEIGHT, WORKERS, WORLD POPULATION,
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=000333038_20110721002550 http://hdl.handle.net/10986/2328 http://hdl.handle.net/10986/5944
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