Balancing public and private health care systems : the Sub-saharan African experience

This book explores financing arrangements in Ghana, Tanzania, and Uganda, introducing scholarship on post-colonial healthcare strategies in Africa during a decade of market-oriented healthcare reform. The author uses current research and case studies on African healthcare systems to analyze implications of various strategies for the future of African healthcare financing. "Balancing Public and Private Health Care Systems appears at a timely moment, given widespread current discussion about equity in healthy care and the role of the state in healthcare planning. In response to the World Bank recommendation that the principle of cost recovery be included in healthcare financing strategies, African countries embraced the principle of public-private partnerships in healthcare. It was argued then, and still now, that a way out of their health conundrum is for governments to play a smaller role in healthcare. The present book explores the different financing arrangements in Ghana, Tanzania, and Uganda. It introduces new scholarship on post-colonial healthcare strategies in Africa, especially during a decade of market-oriented healthcare reform. Drawing upon current research and case studies, as well as recent work by the author himself on African healthcare systems, this book sets out to analyze the implications of the various strategies for the future of healthcare financing in Africa." --Book Jacket Contents......Page 4 Preface......Page 6 Introduction......Page 10 Ch01. Crisis and Change in African Health Care Financing Systems......Page 12 Ch02. Market Reforms in Health Careand the Role of the State......Page 22 Ch03. User Fees: A Special Issue forHealth Care Delivery in Africa......Page 26 Ch04. Health Care Financing in Uganda:The Role of Social Health Insurance......Page 36 Ch05. Balancing Public and PrivateHealth Care in Tanzania......Page 46 Ch06. Health Care Financingin Ghana: Role of the NationalHealth Insurance Scheme......Page 54 Ch07. The Role of Community HealthFunding in Health Care Access inAfrica: Lessons from Tanzania......Page 66 Ch08. Health Care Financing Strategies:Lessons from Abroad......Page 72 References......Page 76 Index......Page 80 Crisis and change in African health care financing systems Market reforms in health care and the role of the state User fees : a special issue for health care delivery in Africa Health care financing in Uganda : the role of social health insurance Balancing public and private health care in Tanzania Health care financing in Ghana : role of the national health insurance scheme The role of community health funding in health care access in Africa : lessons from Tanzania Health care financing strategies : lessons from abroad.