Regulating the for-profit private health sector: lessons from East and Southern Africa

Health Policy and Planning
Jane Doherty

Abstract

International evidence shows that, if poorly regulated, the private health sector may lead to distortions in the type, quantity, distribution, quality and price of health services, as well as anti-competitive behaviour. This article provides an overview of legislation governing the for-profit private health sector in East and Southern Africa. It identifies major implementation problems and suggests strategies Ministries of Health could adopt to regulate the private sector more effectively and in line with key public health objectives. This qualitative study was based on a document review of existing legislation in the region, and seven semi-structured interviews with individuals selected purposively on the basis of their experience in policymaking and legislation. Legislation was categorized according to its objectives and the level at which it operates. A thematic content analysis was conducted on interview transcripts. Most legislation focuses on controlling the entry of health professionals and organizations into the market. Most countries have not developed adequate legislation around behaviour following entry. Generally the type and quality of services provided by private practitioners and facilities are not well-regulated...Continue Reading

References

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Citations

Apr 5, 2016·PloS One·Edson Servan-MoriRafael Lozano
Nov 9, 2016·The European Respiratory Journal·Mukund UplekarMario Raviglione
Mar 7, 2020·BMJ Global Health·Veena Sriram, Sara Bennett
Nov 20, 2016·Journal of Epidemiology and Community Health·Brad Crammond, Gemma Carey
May 31, 2017·The International Journal of Health Planning and Management·Uranchimeg TsevelvaanchigPeter S Hill

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