Health Policy

Balancing Public and Private Health Care Systems: The by Randolph Quaye

By Randolph Quaye

Balancing private and non-private wellbeing and fitness Care Systems seems to be at a well timed second, given frequent present dialogue approximately fairness in fit care and the position of the kingdom in healthcare making plans. in line with the area financial institution advice that the primary of rate restoration be integrated in healthcare financing recommendations, African international locations embraced the main of public-private partnerships in healthcare. It used to be argued then, and nonetheless now, approach out in their well-being conundrum is for governments to play a smaller function in healthcare. the current booklet explores different financing preparations in Ghana, Tanzania, and Uganda. It introduces new scholarship on post-colonial healthcare thoughts in Africa, in particular in the course of a decade of market-oriented healthcare reform. Drawing upon present learn and case stories, in addition to contemporary paintings via the writer himself on African healthcare structures, this booklet units out to research the consequences of many of the innovations for the way forward for healthcare financing in Africa.

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Extra info for Balancing Public and Private Health Care Systems: The Sub-Saharan African Experience

Sample text

To access that, we asked our respondents to define what they understood the concept to mean. Over 85 percent of our respondents demonstrated through their responses that they have a good understanding and purpose of social health insurance. Several define social health insurance as a system that insures access to health care to beneficiaries enrolled in the plan. 1. 8% 8 4 28 0 16 14% 7% 49% 0% 28% Age 18-24 years 25-35 36-45 46-55 56-65 66+ Income 21,000- 30,000 61,000+ Religious Affiliation Protestant Catholic Muslim Hindu Other Own Home Own Home Rent Education ‘O’ Level ‘A’ Level College Vocational Post Graduate Should SHI cover all Tanzanians?

Several mentioned that “sometimes patients are not likely to get medicines prescribed by doctors and they are therefore forced to buy the medicines themselves. Another user stated that, “health care providers discriminate against users of the scheme and prefer those who pay cash on the spot. For another, it is important for doctors and nurses to improve their interpersonal skills when dealing with patients. ” They also discuss the fact that health care providers unduly delay offering services to the NHI members as they prefer to attend to people who are paying cash.

Preliminary assessment of the use of health insurance among teachers has concluded that while the idea is a sound one, its implementation has been thwarted (Bituro, 1999). The Tanzanian experiment like that of other African countries, including Ghana, has not been properly evaluated. The Ugandan National Health Policy clearly places health financing reforms as elements supporting the objectives of reducing ‘mortality, morbidity, and fertility and the disparities therein’(Government of Uganda,2001).

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