Private Health Sector Assessment in Tanzania

Tanzania exemplifies the developing world's struggle to achieve 'middle-income' country status while confronting widespread poverty and substantial health challenges-such as persistently high child and maternal mortality, human immunodeficiency virus/acquired immune deficiency syndrom...

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Main Authors:	White, James, O’Hanlon, Barbara, Chee, Grace, Malangalila, Emmanuel, Kimambo, Adeline, Coarasa, Jorge, Callahan, Sean, Levey, Ilana Ron, McKeon, Kim
Format:	Publication
Language:	en_US
Published:	Washington, DC: World Bank 2013
Subjects:	administrative costs adverse selection affiliate aging capital costs capital expenditures Capital Requirement central governments child health services cities clinics communicable diseases community health community health services disease control economic efficiency Economics epidemiology expenditures externalities Family Planning financial risk Government Intervention Government spending Health health care health care costs health care financing health centers health education health expenditure health expenditures health financing Health insurance health interventions Health ministries health needs health outcomes health policy health sector health services health spending health system health systems hospital administrators hospital beds hospital care hospital finance hospital services Hospitals income income distribution indexes infant mortality infant mortality rate inpatient care insurance premiums insurance systems Intervention life expectancy local governments low-income countries Medical care Medical economics medical services medical systems moral hazard mortality nursing outpatient services paramedics patients payment systems physicians policy discussions private goods private insurance private sector Privatization property rights providers public goods public health public health services Public Hospitals Public ownership public policy public sector public spending quality control recurrent expenditures savings security systems service delivery social insurance socialization Tax tax revenues technical assistance urban areas welfare economicsHealth services Private sector Government role Rural health services Health care delivery
Online Access:	http://hdl.handle.net/10986/15933

id	okr-10986-15933
recordtype	oai_dc
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	en_US
topic	administrative costs adverse selection affiliate aging capital costs capital expenditures Capital Requirement central governments child health services cities clinics communicable diseases community health community health services disease control economic efficiency Economics epidemiology expenditures externalities Family Planning financial risk Government Intervention Government spending Health health care health care costs health care financing health centers health education health expenditure health expenditures health financing Health insurance health interventions Health ministries health needs health outcomes health policy health sector health services health spending health system health systems hospital administrators hospital beds hospital care hospital finance hospital services Hospitals income income distribution indexes infant mortality infant mortality rate inpatient care insurance premiums insurance systems Intervention life expectancy local governments low-income countries Medical care Medical economics medical services medical systems moral hazard mortality nursing outpatient services paramedics patients payment systems physicians policy discussions private goods private insurance private sector Privatization property rights providers public goods public health public health services Public Hospitals Public ownership public policy public sector public spending quality control recurrent expenditures savings security systems service delivery social insurance socialization Tax tax revenues technical assistance urban areas welfare economicsHealth services Private sector Hospitals Government role Rural health services Health care delivery
spellingShingle	administrative costs adverse selection affiliate aging capital costs capital expenditures Capital Requirement central governments child health services cities clinics communicable diseases community health community health services disease control economic efficiency Economics epidemiology expenditures externalities Family Planning financial risk Government Intervention Government spending Health health care health care costs health care financing health centers health education health expenditure health expenditures health financing Health insurance health interventions Health ministries health needs health outcomes health policy health sector health services health spending health system health systems hospital administrators hospital beds hospital care hospital finance hospital services Hospitals income income distribution indexes infant mortality infant mortality rate inpatient care insurance premiums insurance systems Intervention life expectancy local governments low-income countries Medical care Medical economics medical services medical systems moral hazard mortality nursing outpatient services paramedics patients payment systems physicians policy discussions private goods private insurance private sector Privatization property rights providers public goods public health public health services Public Hospitals Public ownership public policy public sector public spending quality control recurrent expenditures savings security systems service delivery social insurance socialization Tax tax revenues technical assistance urban areas welfare economicsHealth services Private sector Hospitals Government role Rural health services Health care delivery White, James O’Hanlon, Barbara Chee, Grace Malangalila, Emmanuel Kimambo, Adeline Coarasa, Jorge Callahan, Sean Levey, Ilana Ron McKeon, Kim Private Health Sector Assessment in Tanzania
geographic_facet	Africa Tanzania
relation	World Bank Study;
description	Tanzania exemplifies the developing world's struggle to achieve 'middle-income' country status while confronting widespread poverty and substantial health challenges-such as persistently high child and maternal mortality, human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS), tuberculosis (TB), and malaria. In this context, Tanzania's National Public Private Partnership (PPP) policy and second Health Sector Strategic Plan (HSSP) included a call for a private health sector assessment. Accordingly, following a regional technical exchange in Mombasa, Kenya, Tanzania's PPP Technical Working Group (TWG) requested that the Health in Africa (HIA) initiative of the International Finance Corporation (IFC) conduct an assessment of the private health sector in mainland Tanzania. Given a history of collaboration between HIA and the USAID-funded project Strengthening Health Outcomes through the Private Sector (SHOPS), which has included holding regional technical workshops on private sector engagement that have drawn representatives from over 14 African countries, HIA engaged SHOPS to lead the effort. With funding support from HIA and the USAID Office of HIV/AIDS, SHOPS assembled a nine-person assessment team composed of health system experts from IFC, SHOPS, USAID, and local stakeholder organizations. The broad focus of the assessment was the status of existing PPPs within the Tanzanian health system, with specific attention also to the opportunities for operationalizing improved private health sector engagement in the key health areas of HIV/AIDS, malaria, TB, and reproductive and child health (RCH)-specifically related to the policy-making process, health financing, and service delivery. The final section of the report presents strategic priorities that aim to assist the GOT and PPP-TWG in strategically engaging the private health sector for rapid health gains and more long-term sustainable health system reform. By seizing existing partnership opportunities and fostering a health system that leverages the skills, resources, and talents of all health actors, the goal of delivering accessible and high-quality health care to all Tanzanians is achievable.
format	Publications & Research :: Publication
author	White, James O’Hanlon, Barbara Chee, Grace Malangalila, Emmanuel Kimambo, Adeline Coarasa, Jorge Callahan, Sean Levey, Ilana Ron McKeon, Kim
author_facet	White, James O’Hanlon, Barbara Chee, Grace Malangalila, Emmanuel Kimambo, Adeline Coarasa, Jorge Callahan, Sean Levey, Ilana Ron McKeon, Kim
author_sort	White, James
title	Private Health Sector Assessment in Tanzania
title_short	Private Health Sector Assessment in Tanzania
title_full	Private Health Sector Assessment in Tanzania
title_fullStr	Private Health Sector Assessment in Tanzania
title_full_unstemmed	Private Health Sector Assessment in Tanzania
title_sort	private health sector assessment in tanzania
publisher	Washington, DC: World Bank
publishDate	2013
url	http://hdl.handle.net/10986/15933
_version_	1764432141101301760
spelling	okr-10986-159332021-04-23T14:03:27Z Private Health Sector Assessment in Tanzania White, James O’Hanlon, Barbara Chee, Grace Malangalila, Emmanuel Kimambo, Adeline Coarasa, Jorge Callahan, Sean Levey, Ilana Ron McKeon, Kim administrative costs adverse selection affiliate aging capital costs capital expenditures Capital Requirement central governments child health services cities clinics communicable diseases community health community health services disease control economic efficiency Economics epidemiology expenditures externalities Family Planning financial risk Government Intervention Government spending Health health care health care costs health care financing health centers health education health expenditure health expenditures health financing Health insurance health interventions Health ministries health needs health outcomes health policy health sector health services health spending health system health systems hospital administrators hospital beds hospital care hospital finance hospital services Hospitals income income distribution indexes infant mortality infant mortality rate inpatient care insurance premiums insurance systems Intervention life expectancy local governments low-income countries Medical care Medical economics medical services medical systems moral hazard mortality nursing outpatient services paramedics patients payment systems physicians policy discussions private goods private insurance private sector Privatization property rights providers public goods public health public health services Public Hospitals Public ownership public policy public sector public spending quality control recurrent expenditures savings security systems service delivery social insurance socialization Tax tax revenues technical assistance urban areas welfare economicsHealth services Private sector Hospitals Government role Rural health services Health care delivery Tanzania exemplifies the developing world's struggle to achieve 'middle-income' country status while confronting widespread poverty and substantial health challenges-such as persistently high child and maternal mortality, human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS), tuberculosis (TB), and malaria. In this context, Tanzania's National Public Private Partnership (PPP) policy and second Health Sector Strategic Plan (HSSP) included a call for a private health sector assessment. Accordingly, following a regional technical exchange in Mombasa, Kenya, Tanzania's PPP Technical Working Group (TWG) requested that the Health in Africa (HIA) initiative of the International Finance Corporation (IFC) conduct an assessment of the private health sector in mainland Tanzania. Given a history of collaboration between HIA and the USAID-funded project Strengthening Health Outcomes through the Private Sector (SHOPS), which has included holding regional technical workshops on private sector engagement that have drawn representatives from over 14 African countries, HIA engaged SHOPS to lead the effort. With funding support from HIA and the USAID Office of HIV/AIDS, SHOPS assembled a nine-person assessment team composed of health system experts from IFC, SHOPS, USAID, and local stakeholder organizations. The broad focus of the assessment was the status of existing PPPs within the Tanzanian health system, with specific attention also to the opportunities for operationalizing improved private health sector engagement in the key health areas of HIV/AIDS, malaria, TB, and reproductive and child health (RCH)-specifically related to the policy-making process, health financing, and service delivery. The final section of the report presents strategic priorities that aim to assist the GOT and PPP-TWG in strategically engaging the private health sector for rapid health gains and more long-term sustainable health system reform. By seizing existing partnership opportunities and fostering a health system that leverages the skills, resources, and talents of all health actors, the goal of delivering accessible and high-quality health care to all Tanzanians is achievable. 2013-09-30T20:29:17Z 2013-09-30T20:29:17Z 2013-09 978-1-4648-0040-5 10.1596/978-1-4648-0040-5 http://hdl.handle.net/10986/15933 en_US World Bank Study; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank Washington, DC: World Bank Publications & Research :: Publication Publications & Research Africa Tanzania

Private Health Sector Assessment in Tanzania

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