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The private sector in health service delivery: an operational definition

The private sector in health service delivery: an operational definition
Author: World Health Organization
Publisher: World Health Organization
Total Pages: 16
Release: 2023-12-18
Genre: Medical
ISBN: 9240080996

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This brief outlines an operational definition of the private sector in health service delivery, developed in collaboration with the WHO's Technical Advisory Group on the Governance of the Private Sector for Universal Health Coverage. The absence of a common definition was recognized as a challenge, potentially leading to an underestimation of the private health sector's impact on health systems. The private sector encompasses various subcomponents, including direct provision of health care, management of health care institutions, manufacturing of health care goods, and financing of health care. The focus of this definition is on private sector entities involved in service delivery.


Engagement with the private sector in health for the COVID-19 response

Engagement with the private sector in health for the COVID-19 response
Author: World Health Organization
Publisher: World Health Organization
Total Pages: 26
Release: 2023-12-15
Genre: Medical
ISBN: 9240085378

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This paper provides comparative analysis on private sector engagement for COVID-19 response in the Eastern Mediterranean region (EMR) with a specific focus on private sector health service delivery. The intention of this paper is to distil behaviours and derive lessons to strengthen governance of health systems, inclusive of the private sector in health. The study methodology included a literature review of articles published between January 2020 and March 2022 supplemented by key informant interviews with government, academic, development partner and private sector representatives. The comparative analysis highlights a range of practice in response to COVID-19. Practice built upon available institutional arrangements, organisational structures, mechanisms for coordination and information exchange. The degree to which this was effective varied and is reflective of the attributes of EMR contexts to manage change and secure essential public health functions. WHO seeks to support Member States with a practice-based and action-oriented approach to governance of the private sector in health, one that is grounded in context.


Private sector engagement to deliver maternal, newborn, child health and family planning services during COVID-19 in Pakistan

Private sector engagement to deliver maternal, newborn, child health and family planning services during COVID-19 in Pakistan
Author: World Health Organization
Publisher: World Health Organization
Total Pages: 22
Release: 2023-07-14
Genre: Medical
ISBN: 9240070389

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This case study documents the experience of engaging with the private sector in health to maintain the delivery and use of essential health services (EHS) with a specific focus on maternal, newborn and child health (MNCH) and family planning (FP) services during the COVID-19 pandemic in Pakistan. A case study methodology was employed, drawing on desk review and key informant interviews, which were conducted between February and April 2022. Several opportunities were raised through the case study, to seize momentum, to ‘build back’ and nurture trust in the health system eroded by COVID-19 pandemic, harnessing all health sectors. While these were specific to Pakistan, they can be relevant to a wider audience.


Private Participation in Health Services

Private Participation in Health Services
Author: April Harding
Publisher: World Bank Publications
Total Pages: 372
Release: 2003
Genre: Medical
ISBN: 9780821351529

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Although many countries already make use of private sector services to achieve policy objectives in public health care provision, it remains a controversial topic. Drawing on a wide range of country experiences, this book considers the use of the private sector in the provision of public health services in developing countries, in terms of: assessing the potential for private sector involvement, contracting with the private sector for health services, regulating the sector, and what to do when key information is not available.


Private sector engagement to deliver maternal, newborn, child health and family planning services during COVID-19 in Uganda

Private sector engagement to deliver maternal, newborn, child health and family planning services during COVID-19 in Uganda
Author: World Health Organization
Publisher: World Health Organization
Total Pages: 22
Release: 2023-10-26
Genre: Medical
ISBN: 924008021X

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This case study documents the experience, benefits, challenges, and lessons learnt of engaging the private sector in health to maintain the delivery and use of essential maternal, newborn and child health (MNCH), including family planning (FP) services during the COVID-19 pandemic in Uganda. A case study methodology was employed, drawing on desk review and key informant interviews, which were conducted between November and December 2021. Several opportunities were raised by respondents, to seize momentum, to ‘build back’ and nurture trust in the health system eroded by COVID-19 pandemic, harnessing all health sectors. While these were specific to Uganda, they are applicable to a wider audience and contexts.


Private Sector Engagement in Public Health Systems

Private Sector Engagement in Public Health Systems
Author: Rafael Cortez
Publisher:
Total Pages: 0
Release: 2022
Genre:
ISBN:

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The aim of the literature review was to provide evidence on private health sector engagement globally, with a specific focus on the South Caucasus. The analysis focused on private sector engagement through the lens of policy dialogue, information sharing, regulation, financing, and private sector provision, including performance and private sector engagement modalities. Results showed that the private sector in Armenia, Azerbaijan, and Georgia is heterogenous. Regulation aimed to increase health coverage with quality services and increase the institutional capacity of the Ministries of Health to collect and analyze data to know better how the private health sector operates and promote private-public partnership to respond to public health challenges. The creation of an autonomous health superintendence would help improve the performance of the private sector: overseeing and supervising the service delivery of private providers and ensuring a strong regulatory environment within countries with high levels of out-of-pocket payments. This entity should enforce transparent behaviors of doctor practices, licensing of physicians, and accreditation of private providers. In addition, the South Caucasus countries can adopt a mix of payment systems with private providers and establish arrangements that ensure a strong private-public partnership (PPP) in health through well-defined contracts. Health facilities with management autonomy should also ensure quality-based purchasing. PPPs would be an optimal way for the South Caucasus to engage with the private sector. Political will, legislative environments and regulatory frameworks, transparency, public sector capacity, complete and flexible contracts, and broad stakeholder engagement are essential conditions to expand PPPs. Learning from best practices globally and expanding research on how health systems create and regulate mixed public-private services are also essential to improve quality, equity, and efficiency of these systems, as countries work to achieve universal health coverage.


Integrating Social Care into the Delivery of Health Care

Integrating Social Care into the Delivery of Health Care
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 195
Release: 2020-01-30
Genre: Medical
ISBN: 0309493439

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Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.