• Non-state provision

Non-state provision

In their efforts to improve health systems, developing countries face the challenge of integrating traditional government health resources with a large and growing private health sector, where many poor people seek care. In these “mixed health systems” centrally planned systems operated by government entities exist side-by-side with private markets for similar or complementary products and services. However, most developing country ministries of health and the donors and technical experts that support them have not fully engaged the private health sector in harnessing innovation or mitigating market failures.

This report, based on research anchored by the Results for Development Institute that examines approaches to the financing and delivery of health services. The report describe 33 innovative financing and delivery models from developing countries that range from donor-driven initiatives to large-scale government-subsidised efforts to for-profit businesses. Each model involves active participation by the private health sector. The report organises the identified programmes into five categories: service delivery; risk-pooling; regulation; supply chain; and contracting.

The report identified programmes that, while falling short of broad health systems reforms, have the potential to improve health markets and equity in those markets. These interventions typically build on existing structures, attempting pragmatically to improve them rather than replace them.

[Adapted from author]

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