Your browser doesn't support javascript.
loading
Assessing the governance environment for private sector engagement in health in Africa: Results from a multi-country survey.
Amri, Michelle; Sam, Omar; Anye, Muriel; Zibwowa, Zandile; Karamagi, Humphrey; Nabyonga-Orem, Juliet.
Afiliación
  • Amri M; World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo.
  • Sam O; Takemi Program in International Health, Harvard School of Public Health, Harvard University, Boston, Massachusetts, USA.
  • Anye M; World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo.
  • Zibwowa Z; World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo.
  • Karamagi H; World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo.
  • Nabyonga-Orem J; World Health Organization Regional Office for Africa, Brazzaville, Republic of Congo.
J Glob Health ; 13: 04113, 2023 Oct 06.
Article en En | MEDLINE | ID: mdl-37800302
ABSTRACT

Background:

The role of the private sector in health is clear in many countries but engagement can be improved. The World Health Organization (WHO) developed a global strategy in 2020 focused on engaging the private sector in health service delivery through governance in mixed health systems and detailed six governance behaviours to guide its Member States. To operationalise these global ideas into practice, the Regional Office for Africa conducted a multi-country study to understand perceptions around the six governance behaviours. This article examines the perceptions of respondents from 13 African countries on the governance environment for private sector engagement in health.

Methods:

Data were collected through an online survey that was distributed to individuals from ministries of health and their partner organisations, private sector institutions and initiatives in countries and development organisations (n = 81) across 13 countries. The survey was based on the following six governance behaviours build understanding, enable stakeholders, nurture trust, foster relations, align structures and deliver strategy.

Results:

Results showed that respondents had mixed perceptions of the governance environment for private sector engagement in health in their respective countries. Although 88% of respondents (n = 63/72) were familiar with the general inclusion of the private sector in national health sector plans, 63% of respondents (n = 45/71) noted there was limited or no integration of the private sector in the health system, and further, 28% of respondents noted there was no private sector reporting in health information systems (n = 19/69). Key opportunities presented in more than one governance behaviour include (i) increasing private sector engagement in public sector activities, (ii) establishing clear roles and responsibilities through formal partnership agreements, (iii) improving data sharing through shared health information systems, (iv) incentives and subsidies, (v) capacity building, (vi) creating norms, guidelines, and regulations and (vii) conducting joint monitoring and evaluation. Many of these outlined overlapping concepts are not exclusive to one behaviour, thus, it is evident that when targeted, there is the potential to improve numerous governance behaviours. This further reiterates the view that the governance behaviours should be understood as connected and not unrelated areas.

Conclusions:

The study provides insight into the perceptions of respondents from select African countries on the governance environment for private sector engagement in health. These findings can inform the development of strategies and interventions to support and enhance private sector engagement in health in the region.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 11_ODS3_cobertura_universal / 1_ASSA2030 / 2_ODS3 Problema de salud: 11_delivery_arrangements / 11_governance_arrangements / 11_multisectoral_coordination / 1_fortalecer_rectoria_gobernanza / 1_sistemas_informacao_saude / 2_cobertura_universal Asunto principal: Sector Privado / Servicios de Salud Tipo de estudio: Guideline / Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: Africa Idioma: En Revista: J Glob Health Año: 2023 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 11_ODS3_cobertura_universal / 1_ASSA2030 / 2_ODS3 Problema de salud: 11_delivery_arrangements / 11_governance_arrangements / 11_multisectoral_coordination / 1_fortalecer_rectoria_gobernanza / 1_sistemas_informacao_saude / 2_cobertura_universal Asunto principal: Sector Privado / Servicios de Salud Tipo de estudio: Guideline / Qualitative_research Aspecto: Determinantes_sociais_saude Límite: Humans País/Región como asunto: Africa Idioma: En Revista: J Glob Health Año: 2023 Tipo del documento: Article
...