private sector engagement for advancing universal health coverage
TRANSCRIPT
9 September 2017
64thSession of
the Regional Committee
for the Eastern Mediterranean
Islamabad, Pakistan9–12 October 2017
Private Sector Engagement in EMR for Advancing Universal Health Coverage
2
Share of Out-of-Pocket Payment (OOP) in Total Health
Expenditure (THE) by Country Group, 2014
Group 1: Bahrain, Kuwait, Qatar, Saudi Arabia, Oman and United Arab EmirateGroup 2: Egypt, Iran, Iraq, Jordan, Lebanon, Libya, Morocco, Palestine, Syria and TunisiaGroup 3: Afghanistan, Djibouti, Pakistan, Somalia, Sudan and Yemen 3
Duality of practice between public and private sectors
Concentration of private workforce in urban areas
Limited data on workforce distribution, salary structure and multiple job holding
Private Health Workforce – Issues and Challenges
0
10
20
30
40
50
60
70
80
90
100
Saudi Arabia Oman Kuwait UAE Jordan Iran
Pe
rcen
tage
Public
Private
Percentage of physicians working in public and private sectors in selected EMR countries
5
Utilization of Private and Public Sectors Outpatient Clinics in Selected Countries
Assessment of private health sector in 12 countries. Cairo: WHO Regional Office for the Eastern. Mediterranean; 2013 (unpublished).
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
private sectorPublic sector
Perc
ent
Source: Demographic and Health Surveys
85.1
62.8 63.6
0
10
20
30
40
50
60
70
80
90
100
Public Private Public Private Public Private Public Private
Pakistan Egypt Morocco Jordan
Poorest Middle Richest
Use of outpatient clinics (private and public providers)
6
7
• Absence of MoH vision• Weak political will • Lack of comprehensive
strategy toward PHS
• Lack of the capacity in formulating policies
• No official recognition of poor quality in public sector
• Public services is MOH priority
• It is considered a “blind spot” in most countries• Reporting is sporadic and incomplete• Inadequate information on human resources or outcomes
• Limited MoH enforcement capacity of PHS regulations (PHS taking advantage of such situation)
• Outdated regulations governing PHS
MoH vision toward PPP
Enforcement of PHS regulations
MoH capacity for engagement with
PHS
Information
8
Reliable information gathering; effective engagement; strategy development and capacity building.
We seek Member States’ guidance for developing this area further to advance UHC in the region.
Way Forward
9
10
Hassan Salah 9 September 2017
64thSession of
the Regional Committee
for the Eastern Mediterranean
Islamabad, Pakistan9–12 October 2017
Private Sector Engagement in EMR for Advancing Universal Health Coverage