Assessment of the private health sector in Republic of Congo / / Marty Makinen, Leo Deville

• Record Nr.: UNINA9910809906503321
• Autore: Makinen William Martin
• Pubbl/distr/stampa: Washington, DC, : International Bank for Reconstruction and Development/World Bank, c2012
• ISBN: 1-283-62308-0; 9786613935533; 0-8213-9707-9
• Edizione: [1st ed.]
• Descrizione fisica: xx, 109 pages : illustrations
• Collana: Investment climate in health series
• Altri autori (Persone): DevilleLeo
• Disciplina: 330.9675
• Soggetti: Medical policy - Congo (Brazzaville); Medical care - Needs assessment - Congo (Brazzaville)
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: "A World Bank study."; "English translation of the original French publication entitled: Etude sur le secteur prive e la sante en Republique du Congo."
• Nota di bibliografia: Includes bibliographical references.
• Nota di contenuto: Contents; Foreword; Preface; Acknowledgments; Acronyms; 1. Introduction; The Republic of Congo's Interest in the Private Health Sector; Structure of this Report; The Congolese Context; Figures; 1.1. Gross Domestic Product per Capita (U.S. dollars); Tables; 1.1. Ease of Doing Business in the Republic of Congo; Health Care Environment; 1.2. Health Indicators Related to the MDGs; Human Resources; 1.2. Distribution of Private Sector Health Care Personnel, by Subregion, 2005; 1.3. Regional and Worldwide Comparison of Government Health Care Expenditures; 1.4. Public and Private Health Care Expenditures, 20001.5. Public and Private Health Care Expenditures, 2008; 1.6. Household Expenditures as a Percentage of Private Health Care Expenditures; Summary and Conclusions; 2. Description of the Congolese Health Care System and Its Private Component; Introduction; Structure of the Health Care System; Structure of the Private Health Sector; 2.1. Regulatory Authority, by Type of Private Provider; 2.1. Status of Facilities, by Type; 2.2. Distribution of Facilities, by Sector; 2.3. Distribution of Private Facilities, by Region Type; Summary and Conclusions3. Methodology and Limitations of the Study; Analysis of the Institutional Framework; Multidimensional Analysis of Supply; Multidimensional Analysis of Demand; Limitations of the Study; 4. Study Results; Analysis of Demand; Tools and Methodology; Main Observations; 4.1. Type of Service Used to Treat a Child's Fever/Cough, National Sample, by SES; 4.2. Type of Service Used to Treat a Child's Fever/Cough, Urban Areas, by SES; 4.3. Type of Service Used to Treat a Child's Fever/Cough, Rural Areas, by SES; 4.4. Type of Service Used to Treat a Child's Diarrhea, National Sample, by SES4.5. Type of Service Used to Treat a Child's Diarrhea, Urban Areas, by SES; 4.6. Type of Service Used to Treat a Child's Diarrhea, Rural Areas, by SES; 4.7. Childbirth Location, by SES; 4.8. Childbirth Location, Urban Areas, by SES; 4.9. Childbirth Location, Rural Areas, by SES; 4.10. Location of Postnatal Visits, National Sample, by SES; 4.11. Location of Postnatal Visits, Urban Areas, by SES; 4.12. Location of Postnatal Visits, Rural Areas, by SES; 4.13. Choice of Public versus Private Sector for HIV Testing, National Sample, by SES4.14. Choice of Public versus Private Sector for HIV Testing, Urban Areas, by SES; 4.15. Choice of Public versus Private Sector HIV Testing, Rural Areas, by SES; 4.16. Provider Chosen by Women to Treat STIs, National Sample, by SES; 4.17. Provider Chosen by Women to Treat STIs, Urban Areas, by SES; 4.18. Provider Chosen by Women to Treat STIs, Rural Areas, by SES; 4.19. Provider Chosen by Men to Treat STIs, National Sample, by SES; 4.20. Provider Chosen by Men to Treat STIs, Urban Areas, by SES; 4.21. Provider Chosen by Men to Treat STIs, Rural Areas, by SES
• Sommario/riassunto: This country assessment is part of a set of studies planned in order to provide a better understanding of how to improve the business environment in which the private sector operates in Congo and other African countries. The assessment was conducted in order to establish a baseline of information, to help with political decision-making and provide market information. The private health sector assessment in the Republic of Congo provides a diagnosis of the nature and the effectiveness of the interface between the public and private sectors, establishes a dialogue on policy with stakeholders, and makes recommendations for reform that would bolster public and private involvement. The methodology is based on a supply and demand approach to identify market, policy and institutional barriers, and options for reducing these barriers by changing policies and initiatives. The information pertaining to demand reveals how users perceive private providers and their potential. The information pertaining to supply gives a better understanding of the role that private providers play and the challenges they encounter. The institutional information shows how Congo's institutions have facilitated or hampered the private participation. The study methodology includes the following aspects: (i) presentation of the general context of the private health sector in Congo, (ii) multidimensional analysis of demand, (iii) multidimensional analysis of supply, and (iv) analysis of institutional context. Options for action presented in this report include (i) policy and governance initiatives, (ii) regulatory initiatives, (iii) incentive initiatives, and (iv) concrete measures for public-private partnerships (PPP) in the health sector.