Healthy firms: constraints to growth among private health sector facilities in Ghana and Kenya.
BACKGROUND: Health outcomes in developing countries continue to lag the developed world, and many countries are not on target to meet the Millennium Development Goals. The private health sector provides much of the care in many developing countries (e.g., approximately 50 percent in Sub-Saharan Afri...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2012-01-01
|
| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC3286467?pdf=render |
| _version_ | 1819227793933729792 |
|---|---|
| author | Nicholas E Burger Daniel Kopf Connor P Spreng Joanne Yoong Neeraj Sood |
| author_facet | Nicholas E Burger Daniel Kopf Connor P Spreng Joanne Yoong Neeraj Sood |
| author_sort | Nicholas E Burger |
| collection | DOAJ |
| description | BACKGROUND: Health outcomes in developing countries continue to lag the developed world, and many countries are not on target to meet the Millennium Development Goals. The private health sector provides much of the care in many developing countries (e.g., approximately 50 percent in Sub-Saharan Africa), but private providers are often poorly integrated into the health system. Efforts to improve health systems performance will need to include the private sector and increase its contributions to national health goals. However, the literature on constraints private health care providers face is limited. METHODOLOGY/PRINCIPAL FINDINGS: We analyze data from a survey of private health facilities in Kenya and Ghana to evaluate growth constraints facing private providers. A significant portion of facilities (Ghana: 62 percent; Kenya: 40 percent) report limited access to finance as the most significant barrier they face; only a small minority of facilities report using formal credit institutions to finance day to day operations (Ghana: 6 percent; Kenya: 11 percent). Other important barriers include corruption, crime, limited demand for goods and services, and poor public infrastructure. Most facilities have paper-based rather than electronic systems for patient records (Ghana: 30 percent; Kenya: 22 percent), accounting (Ghana: 45 percent; Kenya: 27 percent), and inventory control (Ghana: 41 percent; Kenya: 24 percent). A majority of clinics in both countries report undertaking activities to improve provider skills and to monitor the level and quality of care they provide. However, only a minority of pharmacies report undertaking such activities. CONCLUSIONS/SIGNIFICANCE: The results suggest that improved access to finance and improving business processes especially among pharmacies would support improved contributions by private health facilities. These strategies might be complementary if providers are more able to take advantage of increased access to finance when they have the business processes in place for operating a successful business and health facility. |
| first_indexed | 2024-12-23T10:47:02Z |
| format | Article |
| id | doaj.art-3656e77b4a1144dbb50120644b46bdf2 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-23T10:47:02Z |
| publishDate | 2012-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-3656e77b4a1144dbb50120644b46bdf22022-12-21T17:50:00ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0172e2788510.1371/journal.pone.0027885Healthy firms: constraints to growth among private health sector facilities in Ghana and Kenya.Nicholas E BurgerDaniel KopfConnor P SprengJoanne YoongNeeraj SoodBACKGROUND: Health outcomes in developing countries continue to lag the developed world, and many countries are not on target to meet the Millennium Development Goals. The private health sector provides much of the care in many developing countries (e.g., approximately 50 percent in Sub-Saharan Africa), but private providers are often poorly integrated into the health system. Efforts to improve health systems performance will need to include the private sector and increase its contributions to national health goals. However, the literature on constraints private health care providers face is limited. METHODOLOGY/PRINCIPAL FINDINGS: We analyze data from a survey of private health facilities in Kenya and Ghana to evaluate growth constraints facing private providers. A significant portion of facilities (Ghana: 62 percent; Kenya: 40 percent) report limited access to finance as the most significant barrier they face; only a small minority of facilities report using formal credit institutions to finance day to day operations (Ghana: 6 percent; Kenya: 11 percent). Other important barriers include corruption, crime, limited demand for goods and services, and poor public infrastructure. Most facilities have paper-based rather than electronic systems for patient records (Ghana: 30 percent; Kenya: 22 percent), accounting (Ghana: 45 percent; Kenya: 27 percent), and inventory control (Ghana: 41 percent; Kenya: 24 percent). A majority of clinics in both countries report undertaking activities to improve provider skills and to monitor the level and quality of care they provide. However, only a minority of pharmacies report undertaking such activities. CONCLUSIONS/SIGNIFICANCE: The results suggest that improved access to finance and improving business processes especially among pharmacies would support improved contributions by private health facilities. These strategies might be complementary if providers are more able to take advantage of increased access to finance when they have the business processes in place for operating a successful business and health facility.http://europepmc.org/articles/PMC3286467?pdf=render |
| spellingShingle | Nicholas E Burger Daniel Kopf Connor P Spreng Joanne Yoong Neeraj Sood Healthy firms: constraints to growth among private health sector facilities in Ghana and Kenya. PLoS ONE |
| title | Healthy firms: constraints to growth among private health sector facilities in Ghana and Kenya. |
| title_full | Healthy firms: constraints to growth among private health sector facilities in Ghana and Kenya. |
| title_fullStr | Healthy firms: constraints to growth among private health sector facilities in Ghana and Kenya. |
| title_full_unstemmed | Healthy firms: constraints to growth among private health sector facilities in Ghana and Kenya. |
| title_short | Healthy firms: constraints to growth among private health sector facilities in Ghana and Kenya. |
| title_sort | healthy firms constraints to growth among private health sector facilities in ghana and kenya |
| url | http://europepmc.org/articles/PMC3286467?pdf=render |
| work_keys_str_mv | AT nicholaseburger healthyfirmsconstraintstogrowthamongprivatehealthsectorfacilitiesinghanaandkenya AT danielkopf healthyfirmsconstraintstogrowthamongprivatehealthsectorfacilitiesinghanaandkenya AT connorpspreng healthyfirmsconstraintstogrowthamongprivatehealthsectorfacilitiesinghanaandkenya AT joanneyoong healthyfirmsconstraintstogrowthamongprivatehealthsectorfacilitiesinghanaandkenya AT neerajsood healthyfirmsconstraintstogrowthamongprivatehealthsectorfacilitiesinghanaandkenya |