Private Health Sector Assessment in Kenya

, by Barnes, Jeff; O'Hanlon, Barbara; Feeley III, Frank; McKeon, Kimberly; Gitonga, Nelson; Decker, Caytie

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ISBN: 9780821383599 | 0821383590
Cover: Paperback
Copyright: 6/7/2010

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Private Health Sector Assessment in Kenya is part of the World Bank Working Paper series. These papers are published to communicate the results of the Bank's ongoing research and to stimulate public discussion.

Acknowledgments	p. x
Acronyms and Abbreviations	p. xi
Executive Summary	p. xiv
Key Findings	p. xiv
Recommendations	p. xvii
Areas for Future Study	p. xix
Introduction and Background	p. 1
Introduction	p. 1
Methodology	p. 4
Assessment Findings and Issues	p. 6
Private Sector Size and Structure	p. 6
Kenyan Burden of Disease and the Private Health Markets	p. 11
Ensuring Delivery of Quality Services in the Private Health Sector	p. 23
Health Financing and Insurance	p. 29
The Business Environment for the Private Health Sector	p. 39
Private Sector Supply Chain	p. 46
Policy Reform Environment	p. 52
Recommendations	p. 63
Stewardship and Governance of the Private Health Sector	p. 63
Health Financing and Social Health Insurance	p. 64
Delivering Quality Services in the Private Health Sector	p. 66
Delivering Quality Drugs through the Private Supply Chain	p. 72
Bridging the Knowledge Gaps to Stimulate Investment and Inform Public-Private Policy Dialogue	p. 74
Conclusions	p. 76
Estimating the Impacts	p. 76
Other Market Opportunities	p. 78
Appendixes	p. 79
Scope of Work	p. 79
Background	p. 79
Objectives	p. 80
Statement of Work	p. 80
Suggested Methodology	p. 83
Deliverables	p. 84
Duration, Timing and Schedule	p. 85
Stakeholders Interviewed	p. 86
Focus Group Discussion Analysis	p. 89
Understanding the Private Health Sector in Kenya: An Analysis of Focus Group Discussions with Private Health Providers	p. 89
Contributions of Private Providers to Public Health	p. 89
Constraints Preventing Private Providers from Providing More Services	p. 90
Potential Strategies for Improving the Health Care Provided by the Private Sector	p. 91
Donor Investment Opportunities	p. 93
Creating a Legal Structure for Innovation and Security in Health Insurance	p. 93
An Integrated Licensing and Enforcement Structure for Health Facilities	p. 94
Linking Gold Star, Insurance, and Affordable ART Supply	p. 95
Accreditation and Quality Assurance for Laboratories	p. 96
Rural Retail Drug Network	p. 97
Expand Access to Finance	p. 99
Develop Local Training Capacity in Health Management and Finance	p. 99
Support for the Policy Reform Process	p. 101
Case Studies	p. 104
The Gold Star Network	p. 104
Sustainable Healthcare Foundation/CFW Shops	p. 106
Low-end Insurance Product	p. 109
Selected Data on Key Health Markets	p. 112
National Health Accounts	p. 112
Women's Health (Delivery, Antenatal, and Family Planning Services)	p. 113
Treatment of Childhood Diarrhea	p. 121
HIV/AIDS	p. 124
Naivasha Workshop Report	p. 126
Antecedents	p. 126
Workshop Overview	p. 126
Addressing Misperceptions, Building Trust	p. 128
Challenges to Partnership in the Kenyan Health Sector	p. 130
Closing Remarks	p. 133
List of Naivasha Workshop participants	p. 134
Implementation Framework for Social Health Protection Strategy	p. 136
Naivasha Declaration	p. 137
The Naivasha Workshop Recommendations-April 2009	p. 139
Second PPP Workshop: Building a Roadmap for Health PPPs in Kenya (follow-up to Naivasha workshop)	p. 142
Introduction Workshop Overview	p. 142
Background	p. 143
Highlights from Opening Speech by Permanent Secretary, Mr. Mark Bor	p. 144
Prioritization of Naivasha Workshop Recommendations	p. 145
Aureus Capital	p. 154
Next Steps and Road Map	p. 155
Agenda for June 25 and 26 Workshop at Holiday Inn, Nairobi	p. 157
Participant List	p. 158
Summary of Board/Council Activities to Update Their Respective Health Act	p. 159
Private Health Sector Work Plan DRAFT	p. 160
References	p. 162
Tables
Number of Health Facilities by Type and Ownership, Kenya, 1999	p. 8
Distribution of Health Facilities in Kenya by Type and Ownership, 2006	p. 8
Out Visits to Providers by Provinces and Sector, 2007 (in %)	p. 9
Estimates of Health Personnel in the Public and Private Sectors, 2007, 2008	p. 10
NHA HIV Subaccount Analysis	p. 16
Source of ANC in Kenya, Most Recent Birth	p. 21
Source of ANC by Wealth Quintile, Most Recent Birth	p. 21
Treatment Source for Child's Cough or Fever, Limited to Most Recent Birth, by Geographic Region	p. 22
Private Sector Source of Care for Child's Cough or Fever, Limited to Most Recent Birth, by Geographic Region	p. 22
Output of Kenyan Training Institutions, Selected Health Worker Cadres, 2002 and 2005	p. 30
Kenya's Pharmaceutical Trade Balance, 2003-2008 (US$ million)	p. 49
Potential Impacts of Assessment Recommendations	p. 77
Health Market Opportunities in Kenya	p. 78
Leadership and Management Skills	p. 102
Technical Assistance to Establish PPP in Health	p. 103
Strengths and Weaknesses by Sector	p. 129
Challenges in partnering with the private sector	p. 130
PPP Priorities	p. 146
Comparison between PPP Council and PPP Units within MOH/MOF	p. 150
DRAFT Private Health Sector Road Map	p. 156
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