Experience of Private Sector Engagement in Chad's Healthcare System
Explore the Swiss Agency for Development and Cooperation (SDC) experience in working with the private sector in Chad, focusing on initiatives with private health facilities, NGOs, and community-based networks to improve healthcare access and quality services. Challenges, achievements, and future considerations are discussed.
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Presentation Transcript
SDC experience in working with the private sector in Chad
What Private Sector? Private FBO (& few public) health facilities NGO for implementation of mutuelles Vision of a community based network
Mutuelles de sant 1st Phase 2011-13 Aim Increased access to quality service Objective Promote organisations with participatory governance, supported by professional management, and set up in a network. 13 Mutuelles in 5 southern districts
End of Phase External Review Achievments Structure & systems developed Awareness among population increased Individual capacities developed Challenges Limited coverage (~7% in responsibility zone) Limited re-enrollment (~49%) Limited enrollment of the poor Quality of services (public/private) Limited interest of District Health Authorities Limited ownership by BELACD Free emergency care (2007) + RBF
Phase 2: 2014-16 5 southern districts Coordination with district HS strengthening programme => Engage with district health authorities Clarify legal framework Method for inclusion of poor Include free service and RBF experiences Feed into the definition of the national UHC strategy => with P4H support
Conclusions & Open Questions The objectives of Govt & NGO are unrealistic. UHC can t be achieved through a voluntary community based scheme. What can the Govt & Partners learn from this experience, and how? How to build on what is existing (free service, RBF, Mutuelles)? How to overcome the suspicion of the Govt towards the private sector? Where to concentrate our efforts?
