The governance of private sector engagement in health in the African Region: a descriptive case study

# Background It is estimated that the private sector plays a significant role in service delivery and training within African health systems. For example, in sub-Saharan Africa, 35% of outpatient care is provided by the private-for-profit sector, and in some countries, an additional 17% is delivere...

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Main Authors: Michelle Amri, Omar Sam, Muriel Anye, Zandile Zibwowa, Humphrey Karamagi, Juliet Nabyonga-Orem
Format: Article
Language:English
Published: International Society of Global Health 2025-01-01
Series:Journal of Global Health Economics and Policy
Online Access:https://doi.org/10.52872/001c.129034
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author Michelle Amri
Omar Sam
Muriel Anye
Zandile Zibwowa
Humphrey Karamagi
Juliet Nabyonga-Orem
author_facet Michelle Amri
Omar Sam
Muriel Anye
Zandile Zibwowa
Humphrey Karamagi
Juliet Nabyonga-Orem
author_sort Michelle Amri
collection DOAJ
description # Background It is estimated that the private sector plays a significant role in service delivery and training within African health systems. For example, in sub-Saharan Africa, 35% of outpatient care is provided by the private-for-profit sector, and in some countries, an additional 17% is delivered by informal private providers. Given this substantial role, it is crucial for the public sector to engage the private sector and vice versa---referred to as private sector engagement (PSE). As a first step towards PSE, we aimed to understand the current status of PSE in health within the African Region. # Methods This study employed a descriptive case study approach, which was based on (i) a survey of stakeholders from the public sector, private sector, and development partners, as well as (ii) presentations and deliberations at a WHO-hosted multi-country consultation in the African Region on PSE to advance progress towards Universal Health Coverage. # Results The findings demonstrate that the private sector plays a significant role in health systems in the African Region, with increasing momentum for dialogue on PSE in health in selected countries. For instance, a multi-stakeholder analysis and dialogue was conducted in Nigeria; a strategy to strengthen the health system through the private sector was developed in Senegal; and a PSE Forum was held and a technical working group was established in Sierra Leone. # Conclusions Ultimately, the study underscores how increased dialogue on PSE offers an opportunity to adopt more multisectoral, whole-of-society approaches and calls on stakeholders to take action.
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spelling doaj-art-5db27c370c144398a7698b0e8e8121612025-01-31T20:00:32ZengInternational Society of Global HealthJournal of Global Health Economics and Policy2806-60732025-01-015The governance of private sector engagement in health in the African Region: a descriptive case studyMichelle AmriOmar SamMuriel AnyeZandile ZibwowaHumphrey KaramagiJuliet Nabyonga-Orem# Background It is estimated that the private sector plays a significant role in service delivery and training within African health systems. For example, in sub-Saharan Africa, 35% of outpatient care is provided by the private-for-profit sector, and in some countries, an additional 17% is delivered by informal private providers. Given this substantial role, it is crucial for the public sector to engage the private sector and vice versa---referred to as private sector engagement (PSE). As a first step towards PSE, we aimed to understand the current status of PSE in health within the African Region. # Methods This study employed a descriptive case study approach, which was based on (i) a survey of stakeholders from the public sector, private sector, and development partners, as well as (ii) presentations and deliberations at a WHO-hosted multi-country consultation in the African Region on PSE to advance progress towards Universal Health Coverage. # Results The findings demonstrate that the private sector plays a significant role in health systems in the African Region, with increasing momentum for dialogue on PSE in health in selected countries. For instance, a multi-stakeholder analysis and dialogue was conducted in Nigeria; a strategy to strengthen the health system through the private sector was developed in Senegal; and a PSE Forum was held and a technical working group was established in Sierra Leone. # Conclusions Ultimately, the study underscores how increased dialogue on PSE offers an opportunity to adopt more multisectoral, whole-of-society approaches and calls on stakeholders to take action.https://doi.org/10.52872/001c.129034
spellingShingle Michelle Amri
Omar Sam
Muriel Anye
Zandile Zibwowa
Humphrey Karamagi
Juliet Nabyonga-Orem
The governance of private sector engagement in health in the African Region: a descriptive case study
Journal of Global Health Economics and Policy
title The governance of private sector engagement in health in the African Region: a descriptive case study
title_full The governance of private sector engagement in health in the African Region: a descriptive case study
title_fullStr The governance of private sector engagement in health in the African Region: a descriptive case study
title_full_unstemmed The governance of private sector engagement in health in the African Region: a descriptive case study
title_short The governance of private sector engagement in health in the African Region: a descriptive case study
title_sort governance of private sector engagement in health in the african region a descriptive case study
url https://doi.org/10.52872/001c.129034
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