TY - JOUR
T1 - Engagement of private healthcare sector in reproductive, maternal, newborn, child and adolescent health in selected Eastern Mediterranean countries
AU - Iqbal, Meesha
AU - Feroz, Anam Shahil
AU - Siddeeg, Khalid
AU - Gholbzouri, Karima
AU - Al-Raiby, Jamela
AU - Hemachandra, Nilmini
AU - Saleem, Sarah
AU - Siddiqi, Sameen
N1 - Publisher Copyright:
© World Health Organization (WHO) 2022.
PY - 2022/9
Y1 - 2022/9
N2 - Background: The private healthcare sector in the Eastern Mediterranean Region (EMR) is active and growing, providing curative, preventive, and promotive services related to reproductive, maternal, newborn, child, and adolescent health (RMNCAH). Aims: To understand the contribution of formal for-profit private health-care sector in delivering RMNCAH services and explore best practices for improvement. Methods: Desk review of available literature from Saudi Arabia, Oman, Iraq, Egypt, Sudan, Yemen, Pakistan, and Islamic Republic of Iran, followed by stakeholder interviews in Iraq, Pakistan, and Oman were carried out. Directed content analysis using Maxqda 2020 was performed, and information was triangulated according to a priori themes: governance, health information systems, financing, and service delivery related to RMNCAH. Results: Formal and informal public–private partnerships exist in RMNCAH but lack a strategic roadmap to guide col-laboration. The private healthcare sector is minimally represented in the main policy stream at national and subnational levels due to resistance from the private and public sectors. They are weak in collecting, maintaining, and sharing health information. Data on abortion and postabortion complications are scarce. Various models of supply and demand financing (voucher schemes, private and social health insurance) related to antenatal care and contraception have been imple-mented in the EMR. Despite the higher cost of care in the private sector, limited training of providers, ill-defined service delivery packages, and lack of continuity-of-care and team-based approaches, the private sector remains the predominant sector providing RMNCAH services in the EMR. Conclusion: Partnering with the private sector has huge untapped potential that should be harnessed by national govern-ments for expanding RMNCAH services and progressing towards Universal Health Coverage.
AB - Background: The private healthcare sector in the Eastern Mediterranean Region (EMR) is active and growing, providing curative, preventive, and promotive services related to reproductive, maternal, newborn, child, and adolescent health (RMNCAH). Aims: To understand the contribution of formal for-profit private health-care sector in delivering RMNCAH services and explore best practices for improvement. Methods: Desk review of available literature from Saudi Arabia, Oman, Iraq, Egypt, Sudan, Yemen, Pakistan, and Islamic Republic of Iran, followed by stakeholder interviews in Iraq, Pakistan, and Oman were carried out. Directed content analysis using Maxqda 2020 was performed, and information was triangulated according to a priori themes: governance, health information systems, financing, and service delivery related to RMNCAH. Results: Formal and informal public–private partnerships exist in RMNCAH but lack a strategic roadmap to guide col-laboration. The private healthcare sector is minimally represented in the main policy stream at national and subnational levels due to resistance from the private and public sectors. They are weak in collecting, maintaining, and sharing health information. Data on abortion and postabortion complications are scarce. Various models of supply and demand financing (voucher schemes, private and social health insurance) related to antenatal care and contraception have been imple-mented in the EMR. Despite the higher cost of care in the private sector, limited training of providers, ill-defined service delivery packages, and lack of continuity-of-care and team-based approaches, the private sector remains the predominant sector providing RMNCAH services in the EMR. Conclusion: Partnering with the private sector has huge untapped potential that should be harnessed by national govern-ments for expanding RMNCAH services and progressing towards Universal Health Coverage.
KW - child and adolescent health
KW - maternal health
KW - newborn health
KW - private healthcare
KW - reproductive health
UR - http://www.scopus.com/inward/record.url?scp=85139136167&partnerID=8YFLogxK
U2 - 10.26719/emhj.22.057
DO - 10.26719/emhj.22.057
M3 - Article
C2 - 36205202
AN - SCOPUS:85139136167
SN - 1020-3397
VL - 28
SP - 638
EP - 648
JO - Eastern Mediterranean Health Journal
JF - Eastern Mediterranean Health Journal
IS - 9
ER -