Publié par
Publié le
24 juin 2011
Nombre de lectures
20
EAN13
9780821385357
Langue
English
Poids de l'ouvrage
2 Mo
Publié par
Publié le
24 juin 2011
Nombre de lectures
20
EAN13
9780821385357
Langue
English
Poids de l'ouvrage
2 Mo
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
/
The World Bank
1818 H Street, NW
Washington, DC 20433
Telephone: 202-473-1000
Internet: www.worldbank.org
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World Bank Working Papers are published to communicate the results of the Bank’s work to the devel-
opment community with the least possible delay. The manuscript of this paper therefore has not been
prepared in accordance with the procedures appropriate to formally-edited texts. Some sources cited in
this paper may be informal documents that are not readily available. This volume is a product of the sta
ff
of the International Bank for Reconstruction and Development
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The World Bank. The
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ndings, interpre-
tations, and conclusions expressed in this volume do not necessarily re
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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: tfergo@ifc.org
Rel.: +1 (202) 458-5599
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. ...........................