La lecture à portée de main
192
pages
English
Documents
2010
Écrit par
Jeff Barnes
Publié par
world-bank-publications
Publié par
Publié le
07 juin 2010
Nombre de lectures
38
EAN13
9780821383636
Langue
English
Poids de l'ouvrage
2 Mo
Publié par
Publié le
07 juin 2010
Nombre de lectures
38
EAN13
9780821383636
Langue
English
Poids de l'ouvrage
2 Mo
WORLD BANK WORKING PAPER NO. 193
Private Health Sector Assessment
in Kenya
THE WORLD BANKWORLD BANK WORKING PAPER NO . 193
Privaate Heealth SSectorr
Assessment in Kenya
Jeff Barnes
Barbara OʹHanlon
Frank Feeley III
Kimberly McKeon
Nelson Gitoonga
Caytie Decker
Copyright © 2010
The International Bank for Reconstruction and Development/The World Bank
1818 H Street, N.W.
Washington, D.C. 20433, U.S.A.
All rights reserved
Manufactured in the United States of America
First Printing: April 2010
Printed on recycled paper
1 2 3 4 13 12 11 10
World Bank Working Papers are published to communicate the results of the Bank’s work to the
development 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.
The findings, interpretations, and conclusions expressed herein are those of the author(s) and do
not necessarily reflect the views of the International Bank for Reconstruction and Development/The
World Bank and its affiliated organizations, or those of the Executive Directors of The World Bank or
the governments they represent.
The World Bank does not guarantee the accuracy of the data included in this work. The
boundaries, colors, denominations, and other information shown on any map in this work do not imply
any judgment on the part of The World Bank of the legal status of any territory or the endorsement or
acceptance of such boundaries.
The material in this publication is copyrighted. Copying and/or transmitting portions or all of this
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All other queries on rights and licenses, including subsidiary rights, should be addressed to the
Office of the Publisher, The World Bank, 1818 H Street NW, Washington, DC 20433, USA, Fax: 202‐522‐
2422, email: pubrights@worldbank.org.
ISBN: 978‐0‐8213‐8359‐9
eISBN: 978‐0‐8213‐8363‐6
ISSN: 1726‐5878 DOI: 10.1596/978‐0‐8213‐8359‐9
Library of Congress Cataloging‐in‐Publication Data has been requested.
Investment Climate in Health Series
his sub‐series of the World Bank Working Papers is produced by the Investment TClimate Department of the World Bank Group. It is a vehicle for publishing new
material on the World Bank Group’s work in the health sector, for disseminating high‐
quality analytical work, and for consolidating previous informal publications after peer
review and standard quality control.
The sub‐series focuses on publications that expand knowledge of government
policies and the operating environment and suggest ways of better 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 thematic reviews, analytical work, and case studies.
The editor in chief of the series is Alexander S. Preker. Other members of the
Editorial Committee are Peter Berman, Marie‐Louisa Escobar, Scott Featherston, April
L. Harding, Gerard M. La Forgia, Benjamin Loevinsohn, Tonia Marek, Dominic
Montagu, Ok Pannenborg, Khama O. Rogo, Onno P. Schellekens.
For further information contact:
Therese Fergo
E‐mail: tfergo@ifc.org
Tel.: +1 (202) 458‐5599
iii
Contents
Acknowledgments .................................................................................................................... x
Acronyms and Abbreviations ................................................................................................ xi
Executive Summary ................................................................................................................ xiv
Key Findings ..................................................................................................................... xiv
Recommendations .......................................................................................................... xvii
Areas for Future Study .................................................................................................... xix
1. Introduction and Background ............................................................................................. 1
Introduction ......................................................................................................................... 1
2. Methodology .......................................................................................................................... 4
3. Assessment Findings and Issues ........................................................................................ 6
Private Sector Size and Structure ...................................................................................... 6
Kenyan Burden of Disease and the Private Health Markets ....................................... 11
Ensuring Delivery of Quality Services in the Private Health Sector .......................... 23
Health Financing and Insurance ..................................................................................... 29
The Business Environment for the Private Health Sector ........................................... 39
Private Sector Suppl