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Private Sector Participation in Health Care in Zimbabwe: What’s the Value Added and Institutional Challenges?

Mugwagwa, Julius; Banda, Geoffrey and Chinyadza, Janeth (2017). Private Sector Participation in Health Care in Zimbabwe: What’s the Value Added and Institutional Challenges? Journal of Healthcare Communications, 2(2) (In Press).

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This paper analyses the private healthcare sector’s role in Zimbabwe’s health delivery system, especially after economic challenges reduced in real terms fiscal support for public health system funding. This paints a sharp contrast between practicalities of achieving affordable and accessible public healthcare on one hand, and the economic and social realities of underfunded and skills-constrained health systems. Using as empirical models and analytical lenses the country’s 2009–2013 National Health Strategy and the WHO’s health system building blocks, we examine the role played by private sector health delivery actors in the last 10 years and suggest that although the private sector added value, there is a bigger challenge of weak macro-level coordination and communication within the health sector which create problems for systemic design, strategy formulation and feedback mechanisms, important for institutional innovation and timely responses to changing dynamics. Macro-level coordination can be aided by documentation and standardization of procedures, processes and approaches by different health delivery actors to align with national health delivery goals, allowing more predictable and measurable impact from interventions by different actors.

Item Type: Journal Item
ISSN: 2472-1654
Project Funding Details:
Funded Project NameProject IDFunding Body
Innovative spending: where should money be spent to make global health innovations more effective in developing countries? (XD-11-056-JM)ES/K001442/1ESRC (Economic and Social Research Council)
Academic Unit/School: Faculty of Arts and Social Sciences (FASS) > Politics, Philosophy, Economics, Development, Geography
Faculty of Arts and Social Sciences (FASS)
Interdisciplinary Research Centre: Innovation, Knowledge & Development research centre (IKD)
International Development & Inclusive Innovation
Item ID: 48668
Depositing User: Julius Mugwagwa
Date Deposited: 28 Feb 2017 15:43
Last Modified: 28 Feb 2017 15:43
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