Can developing countries achieve adequate improvements in child health outcomes without engaging the private sector?

The private sector exerts a significant and critical influence on child health outcomes in developing countries, including the health of poor children. This article reviews the available evidence on private sector utilization and quality of care. It provides a framework for analysing the private sec...

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Main Authors: Flavia Bustreo, April Harding, Henrik Axelsson
Format: Article
Language:English
Published: The World Health Organization
Series:Bulletin of the World Health Organization
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862003001200007&lng=en&tlng=en
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author Flavia Bustreo
April Harding
Henrik Axelsson
author_facet Flavia Bustreo
April Harding
Henrik Axelsson
author_sort Flavia Bustreo
collection DOAJ
description The private sector exerts a significant and critical influence on child health outcomes in developing countries, including the health of poor children. This article reviews the available evidence on private sector utilization and quality of care. It provides a framework for analysing the private sector's influence on child health outcomes. This influence goes beyond service provision by private providers and nongovernmental organizations (NGOs). Pharmacies, drug sellers, private suppliers, and food producers also have an impact on the health of children. Many governments are experimenting with strategies to engage the private sector to improve child health. The article analyses some of the most promising strategies, and suggests that a number of constraints make it hard for policy-makers to emulate these approaches. Few experiences are clearly described, monitored, and evaluated. The article suggests that improving the impact of child health programmes in developing countries requires a more systematic analysis of how to engage the private sector most effectively. The starting point should include the evaluation of the presence and potential of the private sector, including actors such as professional associations, producer organizations, community groups, and patients' organizations.
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spelling doaj.art-57509fafb0514f7799e7e843ffbe9fdc2024-03-02T01:03:44ZengThe World Health OrganizationBulletin of the World Health Organization0042-9686811288689510.1590/S0042-96862003001200007S0042-96862003001200007Can developing countries achieve adequate improvements in child health outcomes without engaging the private sector?Flavia Bustreo0April Harding1Henrik Axelsson2World BankWorld BankWorld BankThe private sector exerts a significant and critical influence on child health outcomes in developing countries, including the health of poor children. This article reviews the available evidence on private sector utilization and quality of care. It provides a framework for analysing the private sector's influence on child health outcomes. This influence goes beyond service provision by private providers and nongovernmental organizations (NGOs). Pharmacies, drug sellers, private suppliers, and food producers also have an impact on the health of children. Many governments are experimenting with strategies to engage the private sector to improve child health. The article analyses some of the most promising strategies, and suggests that a number of constraints make it hard for policy-makers to emulate these approaches. Few experiences are clearly described, monitored, and evaluated. The article suggests that improving the impact of child health programmes in developing countries requires a more systematic analysis of how to engage the private sector most effectively. The starting point should include the evaluation of the presence and potential of the private sector, including actors such as professional associations, producer organizations, community groups, and patients' organizations.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862003001200007&lng=en&tlng=enchild health servicesdelivery of health caredelivery of health careoutcome assessment (health care)private sectorquality of health carequality assurancehealth carecontract servicessocial marketinglegislationhealth knowledge, attitudes, practicedeveloping countries
spellingShingle Flavia Bustreo
April Harding
Henrik Axelsson
Can developing countries achieve adequate improvements in child health outcomes without engaging the private sector?
Bulletin of the World Health Organization
child health services
delivery of health care
delivery of health care
outcome assessment (health care)
private sector
quality of health care
quality assurance
health care
contract services
social marketing
legislation
health knowledge, attitudes, practice
developing countries
title Can developing countries achieve adequate improvements in child health outcomes without engaging the private sector?
title_full Can developing countries achieve adequate improvements in child health outcomes without engaging the private sector?
title_fullStr Can developing countries achieve adequate improvements in child health outcomes without engaging the private sector?
title_full_unstemmed Can developing countries achieve adequate improvements in child health outcomes without engaging the private sector?
title_short Can developing countries achieve adequate improvements in child health outcomes without engaging the private sector?
title_sort can developing countries achieve adequate improvements in child health outcomes without engaging the private sector
topic child health services
delivery of health care
delivery of health care
outcome assessment (health care)
private sector
quality of health care
quality assurance
health care
contract services
social marketing
legislation
health knowledge, attitudes, practice
developing countries
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862003001200007&lng=en&tlng=en
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AT henrikaxelsson candevelopingcountriesachieveadequateimprovementsinchildhealthoutcomeswithoutengagingtheprivatesector