Summary of Country Studies:Summary of Country Studies:Private Providers’ Contributions toPrivate Providers’ Contributions toPublic Health in Four African CountriesPublic Health in Four African CountriesConference - Private and Nongovernment Providers:Partners for Public Health in AfricaNovember 28 - December 1, 1994Nairobi, KenyaGerald Hursh-CésarGerald Hursh-CésarWith:With:Peter BermanPeter BermanKara HansonKara HansonRavi Rannan-EliyaRavi Rannan-EliyaJoseph RittmanJoseph RittmanKristen PurdyKristen PurdyData for Decision Making Project iAcknowledgementsAcknowledgements ..........................................................................................................................................................................11BBackgroundackground ................................................................................................................................................................................................22SStudy methodstudy methods ......................................................................................................................................................................................33CCharacteristicsharacteristics: W: Who are theho are the P Privaterivate P Providersroviders?? ..............................................................................44Type of Providers.................................................................................................. 4Growth of Private Providers ....................................................................................4Services: What do Private Providers Do?Services: What do Private Providers Do? ....................................................................................................66Mission Services................................................................................................... 6Employer-Based Services .......................................................................................6For-Profit Providers ............................................................................................... 6Pharmacists/Drug Stores........................................................................................ 7Traditional Practitioners ......................................................................................... 7Community-Based Services..................................................................................... 7Determinants: What Factors Affect their Services?Determinants: What Factors Affect their Services? ......................................................................88Demand-Side Determinants ....................................................................................8Supply-Side Determinants ......................................................................................9Linkages: What Links Exist Between the Public and Private Sectors?Linkages: What Links Exist Between the Public and Private Sectors?..........1111Implications: What are the Opportunities for Improving Public HealthImplications: What are the Opportunities for Improving Public Healthand and Private Provision?Private Provision?............................................................................................................................................................1212Summary of Case StudiesSummary of Case StudiesKenya: Private Providers and Public Health ............................................................ 16Background ............................................................................................................. 16Study Methods ........................................................................................................ 16Characteristics: Who are the Private Providers? ........................................................ 16Services: What Do Private Providers Do? .................................................................. 17Determinants: What Factors Affect Their Services?................................................... 18Linkages: What Links do they have with the Public Sector?...................................... 20Implications: What are the Opportunities for Improving Public Healthand Private Provision? .............................................................................................. 20Table of Contentsii Peter Berman, Kara Hanson, Ravindra Rannan-Eliya, Joseph Rittmann, and Kristen PurdySenegal: Private Providers and Public Health........................................................... 22Background ............................................................................................................. 22Study Methods ........................................................................................................ 22Characteristics: Who are the Private Providers? ........................................................ 22Services: What do Private Providers do? .................................................................. 23Determinants: What Factors Affect Their Services?................................................... 24Linkages: What Links do they have with the Public Sector?...................................... 26Implications: What are the Opportunities for Improving Public Healthand Private Provision? .............................................................................................. 26Tanzania: Private Providers and Public Health......................................................... 27Background ............................................................................................................. 27Study Methods ........................................................................................................ 27Characteristics: Who are the Private Providers? ........................................................ 27Services: What do Private Providers do? .................................................................. 28Determinants: What Factors Affect Their Services .................................................... 28Linkages: What Links do they have with the Public Sector?...................................... 30Implications: What are the Opportunities for Improving Public Healthand Private Provision? .............................................................................................. 30Zambia: Private Providers and Public Health...........................................................
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