What opportunities exist for the governance of private sector engagement in mixed health systems in the African Region
Bibliographic Data
| ID | 19552011 |
|---|---|
| Authors | Michelle Amri (0000-0001-6692-3340, University of British Columbia), Omar Sam (World Health Organization Regional Office for Africa), Muriel Anye (World Health Organization Regional Office for Africa), Zandile Zibwowa (0000-0001-6560-5754, World Health Organization Regional Office for Africa), Humphrey Karamagi (0000-0002-6277-2095, World Health Organization Regional Office for Africa), Humphrey Cyprian Karamagi, Juliet Nabyonga‐Orem (0000-0002-1061-8678, University of Namibia) |
| Year | 2025 |
| Volume | 15 |
| Pages | 03038-03038 |
| Publication date | 2025-08-22 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Global Health (JOURNAL) |
| Journal identifiers | ISSN: 2047-2978 • E-ISSN: 2047-2986 |
| Publisher | International Society of Global Health (PUBLISHER • GB) |
| DOI | 10.7189/jogh.15.03038 |
| PMID | 40843590 |
| OpenAlex | W4413431930 |
| Language | EN |
| References cited | 29 |
Given the significant role of private actors in health across the African Region, there is a need to interrogate how private sector engagement (PSE) is governed. We identify three key opportunities for strengthening the governance of PSE in mixed health systems in the African Region. This work draws on a programme of activities conducted by the World Health Organization Regional Office for Africa, including a multi-country stakeholder survey, a regional meeting with participants from the public and private sectors, and a descriptive case study of the governance environment. We draw on a governance framework focused on three governance inputs - participation, consensus orientation, and strategic vision and policy design - to present opportunities. First, participation can be strengthened by formalising mechanisms for dialogue and consultation, creating partnerships, and defining roles and responsibilities. Second, better consensus orientation can be sought through aligning sectoral goals, such as through deploying champions and improving understandings of health equity. Third, strategic vision and policy design can be advanced by better integrating the private sector into mixed health systems. Integration can improve both data sharing in national health information systems and oversight. Moving forward, addressing how health equity can be re-centred and improving collaboration across sectors are essential
Business · Corporate governance · Economic growth · Economics · Environmental health · Geography · Health sector · Health services · Political science · Private sector · Global Maternal and Child Health · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Medicine
Governance Theory and Practice
Framework for assessing governance of the health system in developing countries
The Concepts and Principles of Equity and Health
Comparative Performance of Private and Public Healthcare Systems in Low- and Middle-Income Countries
Governing Complex Societies
How do high-level African directors of policy and planning operationalize health equity? Findings from a regional survey
Assessing the governance environment for private sector engagement in health in Africa
How do World Health Organization technical officers working on noncommunicable diseases approach health equity
Scoping review of the World Health Organization’s underlying equity discourses
Probing key informants’ views of health equity within the World Health Organization’s Urban Heart initiative
Assessing health equity inconsistencies in the World Health Organization’s Urban Heart initiative
An umbrella review of intersectoral and multisectoral approaches to health policy
Rethinking Good Governance
| Citation velocity | historical |
|---|---|
| Highly cited | No |