The scale and scope of private contributions to health systems


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This presentation was given at a session at the Global Symposium on Health Systems Research in November 2010. Panelists included Ruth Berg, Gerry Bloom, Birger Forsberg, Kara Hanson, Gina Lagomarsino, Dominic Montagu, Stefan Nachuk

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  • SB – verbally only, Private sector has always existed, and has been particularly important in low and middle income countries. Personal involvement in work in the early 1990s through WHO on private sector,…but little progress in research for a long while. Nonetheless there were quite rapid developments in policy vis a vis the private sector stimulated by some of the global health initiatives (Such as global fund, and PEPFAR) among others.
  • Note, I will ask people to introduce themselves at this point – stating their name, institution and what the nature of their interest in the private health sector is.
  • Note will open up to questions after the first few questions have been asked of the panel.
  • The scale and scope of private contributions to health systems

    1. 1. Panelists: Ruth Berg, Gerry Bloom, Birger Forsberg, Kara Hanson, Gina Lagomarsino, Dominic Montagu, Stefan Nachuk. Convenor: Dominic Montagu Commentator: Gustavo Nigenda Lopez Facilitator: Sara Bennett
    2. 2. Initiatives that helped to re-kindle research interest in the private sector  Interest group on the private health sector  First meeting at iHEA Copenhagen (2007)  Symposium at iHEA Beijing (2009)  Supplement of Health Policy and Planning on Private Sector Issues  Further symposium planned for iHEA 2011  Alliance for Health Policy and Systems Research – Identification of priorities in research on the private sector (2007-2008)  Future Health Systems private market focus  Private Sector Programme in Health research network (2002-2008)
    3. 3. Identifying Priority Research Questions Theme 3: Non-state sector issues in Low and Middle Income countries 1. How can government create a better environment to foster non-state providers in the achievement of health systems outcomes 2. What is the quality and/or coverage of health care services provided by the non-state sector for the poor? 3. What types of regulation can improve health system outcomes and under what conditions?
    4. 4. Session Aims  To consider how the research agenda on the private health sector has developed during the past 4-5 years, including changes in  Private health sector interventions  Research priorities  Research methods  Networks and communities of practice
    5. 5. The session  Format: A fishbowl!  Panel Members  Ruth Berg – Abt Associates and SHOPS  Gerry Bloom – Institute for Development Studes & Future Health Systems  Birger Forsberg – Karolinska Insitute  Kara Hanson – London School of Hygiene and Tropical Medicine and Consortium for Research on Equity and Health (CREHS)  Gina Lagomarsino – Results for Development  Dominic Montagu – Centre for Global Health, University of California, San Francisco  Stefan Nachuk – Rockefeller Foundation  Commentator – Gustavo Nigenda, INSP, Mexico
    6. 6. Outline of Questions  What have been the key private health sector initiatives/developments in LMICs during the past 5 years?  What research opportunities have these new initiatives/developments given rise to?  To what degree are the research priorities on the private health sector, that were identified by the Alliance still relevant today?  Have there been developments in terms of the research methods and approaches available to study the private health sector?  Which networks/communities of practice do you find most useful in this field?