Current Opinion in HIV and AIDS · 2008 · 10 citations · 5 references
Public AffairsHealth PolicyInsuranceHealth Care FinancingHealth InsuranceHealthcare PolicyHealth FinancingHealth Insurance FinancingHealthcare FinancingInsurance CoveragePublic-private PartnershipsPublic-private Partnerships In HealthHealth Financing PolicyHealth FundingPrivate Health Insurance ProvisionPrivate Insurance CoveragePrivate Sector ProvisionPrivate Sector RegulationPublic Funding Of HealthcareRegulation Of Private Providers
PURPOSE OF REVIEW: The aim of this article is to lay the ground for the engagement and support of a well managed and effectively regulated private sector in the delivery of healthcare in sub-Saharan Africa. RECENT FINDINGS: About 60% of healthcare financing in sub-Saharan Africa comes from private sources, and about 50% of total health expenditure goes to private providers, often in the form of out-of-pocket contributions by the poor. Yet, regulatory frameworks are weak and private sector healthcare providers are hardly ever eligible to receive donor funds. Moreover, virtually no investments in healthcare are being made. SUMMARY: We argue for a healthcare reform in which government and private sector work together and in which the development of prepaid private insurance coverage for low-income people and commercial capital investments in healthcare delivery play a major role. Support for such solutions is growing. Many obstacles remain, however, in particular the stubborn insistence of the donor community to support only government initiatives in health, to the exclusion of the private sector.
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Public spending on health care in Africa: do the poor benefit?
Florencia Castro-Leal, Julia Dayton, Lionel Demery et al. · PubMed · 2000 · 342 citations · Full text
Public Affairs, Health Policy, Health Services Administration +17
Private health insurance: implications for developing countries.
Neelam Sekhri, William D. Savedoff · PubMed · 2005 · 179 citations