Private Health Sector Assessment in Mali

Mathieu Lamiaux

Description

Under its Health in Africa Initiative, IFC intended to conduct a country assessment of the private health sector in Mali, working in close collaboration with the World Bank and the Government of Mali.
The Core objective of the Mali Country Assessment Report was to work closely with the Government of Mali and Development partners to develop recommendations for a reform program to strengthen the existing policy framework for the public-private interface in the health sector and to improve the delivery of health related goods and services for all Malians.
As part of this, the purpose of the book was to:
▪ Determine the role the private sector currently plays in Mali's health care system.
▪ Present a diagnose of the nature and effectiveness of the existing interface between the public and private sectors in Mali, health system constraints, as well as the business enabling and investment environment.
▪ Assist the World Bank Group to engage in policy dialogue with stakeholders in Mali's health care system, and particularly with public officials and policy makers; and help develop detailed recommendations for the Government of Mali with policy makers and key stakeholders.

Sujets

• Health system
• Malí
• Public?private partnership
• Reform
• Health
• Private sector development

Informations

• Publié par: world-bank-publications
• Publié le: 24 juin 2011
• Nombre de lectures: 30
• EAN13: 9780821385357
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

WORLD BANK WORKING

Private Health Sector

Assessment in Mali

THE WORLD BANK

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WORLD BANK WORKING PAPER NO. 212

Private Health Sector
Assessment in Mali

The Post-Bamako Initiative Reality

Mathieu Lamiaux
François Rouzaud
Wendy Woods

Investment Climate Advisory Services of the World Bank Group

Copyright © 2011
The International Bank for Reconstruction and Development
 
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The World Bank
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Washington, DC 20433
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World Bank Working Papers are published to communicate the results of the Bank’s work to the devel-
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of the International Bank for Reconstruction and Development
 
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fi
ndings, interpre-
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ISBN: 978-0-8213-8535-7
eISBN: 978-0-8213-8795-5
ISSN: 1726-5878 DOI: 10.1596
 
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978-0-8213-8535-7
Library of Congress Cataloging-in-Publication Data has been requested.

Investment Climate in Health Series

his subseries of the World Bank Working Papers is produced by the Investment Cli-
T
mate Department of the World Bank Group. It is a vehicle for publishing new mate-
rial on the group’s work in the health sector, for disseminating high-quality analytical
work, and for consolidating previous informal publications after peer review and stan-
dard quality control.
The subseries focuses on publications that expand knowledge of government poli-
cies and the operating environment and suggest ways of be
Ĵ
er engaging the private
health sector in treating illnesses among the poor and other vulnerable populations.
Best-practice examples of both global and regional relevance are presented through the-
matic reviews, analytical work, and case studies.
The editor-in-chief of the series is Alexander S. Preker. Other members of the edi-
torial commi
Ĵ
ee are Peter Berman, Maria-Luisa Escobar, Sco
Ĵ
Featherston, Charles C.
Gri
ffi
n, April L. Harding, Gerard M. La Forgia, Maureen Lewis, Benjamin Loevinsohn,
Ok Pannenborg, Khama O. Rogo, and Marie-Odile Waty.
For further information contact:

Therese Fergo
Email: [e-mail]
Rel.: [phone]

iii

Contents

Foreword .....................................................................................................................................
ix
Preface .........................................................................................................................................
xi
Acknowledgments ..................................................................................................................
xix
Acronyms and Abbreviations ...............................................................................................
xxi
1. Introduction and Background Elements ........................................................................
1
The “Health in Africa” Initiative .......................................................................................
1
The Malian Context ............................................................................................................
.
1
2. Private Health Care under the Malian System .............................................................
4
History ..................................................................................................................................
4
Health Policy in Mali .........................................................................................................
.
5
Health Care Delivery ..........................................................................................................
6
Education of Health Care Professionals. ........................................................................
11
Pharmaceuticals and Medical Products Distribution ..................................................
13
Health Insurance...............................................................................................................
.
16
Clinical Pathway ................................................................................................................
17
Synthesis: Sizing the Health Care Sector .......................................................................
19
3. Governance, Regulation, and the Business Environment ........................................
21
Associating the Private Sector in Governance of the Health System. ........................
21
Private Sector Regulation: Strategic Documents and Regulatory Framework. ........
23
Business Environment ......................................................................................................
24
4. Analysis of the Health System. ......................................................................................
26
Private Medicine ................................................................................................................
26
Education ............................................................................................................................
29
Private Community Sector ...............................................................................................
31
Health Insurance...............................................................................................................
.
35
Pharmaceuticals .................................................................................................................
37
Clinical Pathway ................................................................................................................
39
Governance. ........................................................................................................................
40
5. Improving the Private Sector Contribution to Public Health Objectives .............
41
About Opportunities for Improvement .........................................................................
41
Strengthening the Public-Private Partnership and Dialogue ......................................
41
Creation or Revision of Regulatory Texts ......................................................................
45
Reinforcement of Law Enforcement Mechanisms ........................................................
47
Strengthening the Education Policy ...............................................................................
48
Fight against the Illegal Pharmaceuticals Market. ........................................................
50

v

viContents

Implementation of Quality and Locational Incentives ................................................
50
Bolster Rural Community Health by Consolidating ASACO and .............................
52
CSCOM Strengths
Voluntary Expansion of Private Mutual Insurance ......................................................
55
Clinical Pathway ................................................................................................................
56
6. Operational Proposal for Governance. .........................................................................
57
Public-Private Dialogue and Consultation Commi
Ĵ
ee. ...........................