Lamiaux, MathieuRouzaud, FrançoisWoods, Wendy2012-03-192012-04-042012-03-192012-04-042011978-0-8213-8535-7https://hdl.handle.net/10986/2328https://hdl.handle.net/10986/5944This country assessment of the private health sector in Mali is part of a series of studies designed to deepen understanding of ways to enhance the health policy framework, business environment, and investment climate in which the private health sector operates in African countries. The Malian health system has evolved dramatically since the middle of the 1980s. A large part of the analysis in this report relies on the reprocessing and the mining of existing databases, the financial and macroeconomic models based on those data, and elements reconstructed through triangulation. Those calculations proved indispensable for assessing the main demographic trends in the private sector, for estimating the growth of community centers (CSCOMs) and private mutual insurance, and identifying how to reinforce them. The growth of the private sector is further held back by insufficient educational preparation for practice in the private sector and in rural areas. For-profit and not-for-profit health care providers, pharmacies, and schools should be given beefier access to funding during start-up. Other financial engineering strategies (participation, etc.) could also be devised. The government of Mali has an opportunity to take advantage the large and dynamic private health sector in contributing to its national health care objectives and outcomes. The study describes the various instruments of stewardship towards the private sector that could be used such as information, regulations, financing and direct provision of public services in areas of significant market failure.La présente évaluation du secteur privé de la santé au Mali fait partie d’une série d’études destinée à approfondir la connaissances des méthodes permettant d’améliorer le cadre de politique générale en matière de santé, l’environnement des affaires et le climat de l’investissement dans lequel le secteur privé de la santé opère dans les pays africains. Le système des soins de santé malien a profondément évolué depuis le milieu des années 80 sous l’effet conjugué de la libéralisation de l’exercice privé des professions sanitaires en 1985 et de la mise en œuvre de l’initiative de Bamako. Depuis lors, le secteur privé s’est développé à tel point qu’il fournit aujourd’hui près de 50 % des biens et services de santé dans le pays, notamment dans la filière de délivrance de soins, de la filière pharmaceutique, dans les filières formation et assurance santé. Malgré les preuves manifestes de l’importante contribution du secteur privé de la santé au Mali, des recherches plus approfondies sont toujours nécessaires pour mesurer pleinement sa taille, sa configuration, la qualité des soins rendus, son accessibilité financière et sa contribution à l’atteinte de l’ensemble des objectifs et résultats du secteur de la santé. Au terme de l’analyse, cette étude conclut que le Gouvernement malien devrait tirer parti de la contribution du vaste et dynamique secteur privé de la santé à l’atteinte des objectifs et des résultats nationaux en matière de soins de santé. L’étude présente les différents instruments de gestion proposés au secteur privé tels que l’information, les règlements, les financements et la fourniture directe des services publics dans les domaines où le marché présente des lacunes majeures.CC BY 3.0 IGOADMINISTRATIVE CONTROLADULT LITERACYADVOCACY ROLEAGEDAGGRESSIVEAPPLICABLE LAWBABYCENTER FOR HEALTHCHILD MORTALITYCHILD MORTALITY RATECHILDRENCHILDREN PER WOMANCHOICECHOICE OF PROVIDERSCITIESCLEANLINESSCLINICAL PATHWAYSCOMMUNITY CENTERSCOMMUNITY HEALTHCOMMUNITY HEALTH CARECOMMUNITY HEALTH CENTERCOMMUNITY PARTICIPATIONCOMMUNITY SERVICESCOOPERATIONCOST STRUCTURECOSTSDEBTDELIVERY OF HEALTH CAREDELIVERY OF HEALTH CARE SERVICESDEMANDDEMAND FOR HEALTHDEMAND FOR HEALTH CAREDEMAND FOR HEALTH SERVICESDEMOGRAPHIC GROWTHDEMOGRAPHIC TRENDSDENTISTRYDEVELOPMENT POLICYDISABLED PEOPLEDISSEMINATIONDOCTORSEMPLOYMENTENFORCEMENT MECHANISMSEQUITYESSENTIAL DRUGSEVALUATIONEXERCISESFEESFINANCIAL BALANCEFORECASTSGOVERNMENT POLICIESHEALTHHEALTH BEHAVIORHEALTH CAREHEALTH CARE DECISIONSHEALTH CARE DELIVERYHEALTH CARE EXPENDITURESHEALTH CARE INSURANCEHEALTH CARE NETWORKSHEALTH CARE PERSONNELHEALTH CARE POLICIESHEALTH CARE POLICYHEALTH CARE PROFESSIONALSHEALTH CARE PROVIDERHEALTH CARE PROVIDERSHEALTH CARE PROVISIONHEALTH CARE SECTORHEALTH CARE SERVICESHEALTH CARE SYSTEMHEALTH CENTERSHEALTH CONDITIONSHEALTH EDUCATIONHEALTH EQUIPMENTHEALTH EXPENDITURESHEALTH FACILITIESHEALTH INDUSTRYHEALTH INFORMATIONHEALTH INSURANCEHEALTH INSURANCE COVERAGEHEALTH ORGANIZATIONHEALTH POLICYHEALTH PROFESSIONALSHEALTH PROFESSIONSHEALTH PROVIDERSHEALTH SECTORHEALTH SERVICEHEALTH SERVICESHEALTH SPECIALISTHEALTH SYSTEMHEALTH WORKERSHIV/AIDSHOSPITALIZATIONHOSPITALSHOUSEHOLD INCOMEHUMAN DEVELOPMENTHUMAN RESOURCESHUMAN RESOURCES DEVELOPMENTILLNESSILLNESSESIMPLEMENTATIONINCENTIVESINCOMEINFANTINFORMAL SECTORINPATIENT CAREINSTITUTIONALIZATIONINSURANCE ARRANGEMENTSINSURANCE COMPANIESINSURANCE SCHEMESINSURANCE SYSTEMINSURERSINTEGRATIONINTERNETINTERVIEWKNOWLEDGELAWSLEGAL FRAMEWORKLEGAL STATUSLIFE EXPECTANCYLIFE EXPECTANCY AT BIRTHLIMITED RESOURCESLOCAL AUTHORITIESLOCAL COMMUNITIESMANAGEMENT OF HEALTHMANDATESMARKETINGMATERNAL MORTALITYMATERNAL MORTALITY RATEMEDICAL CAREMEDICAL PRACTICESMEDICAL PROFESSIONALSMEDICATIONMEDICINESMIDWIFEMIDWIVESMILLENNIUM DEVELOPMENT GOALSMINISTRIES OF HEALTHMINISTRY OF HEALTHMONITORINGMORBIDITYMORTALITYNATIONAL COUNCILNATIONAL HEALTHNATIONAL HEALTH EXPENDITURESNATIONAL PLANNATIONAL POLICYNATURE OF HEALTHNONGOVERNMENTAL ORGANIZATIONSNUMBER OF PEOPLENURSESNURSINGOUTPATIENT CAREPATIENTPATIENTSPEOPLEPHARMACEUTICAL SECTORPHARMACIESPHARMACISTSPHARMACYPHYSICIANPHYSICIANSPOLICY ANALYSISPOLICY DOCUMENTPOLICY FRAMEWORKPOLICY PROCESSPOLICY-MAKING BODIESPOPULATIONPOPULATION DIVISIONPOVERTYPPMPRACTITIONERSPREGNANT WOMENPRENATAL CAREPRICE STRUCTUREPRIMARY CAREPRIMARY HEALTH CAREPRIMARY HEALTH CARE SERVICESPRIMARY HEALTH SERVICESPRIVATE HOSPITALSPRIVATE SECTORPRIVATE SECTORSPROFESSIONAL ASSOCIATIONSPROGRESSPUBLIC EXPENDITUREPUBLIC HEALTHPUBLIC HEALTH CAREPUBLIC HOSPITALPUBLIC HOSPITALSPUBLIC POLICYPUBLIC PROVIDERSPUBLIC SECTORPUBLIC SERVICEPUBLIC SERVICESPUBLICATIONSQUALITY CONTROLQUALITY OF CAREQUALITY SERVICESRICHER POPULATIONSRISKRURAL AREASRURAL HEALTH CARERURAL POPULATIONSERVICE QUALITYSET OF RECOMMENDATIONSSOCIAL ACTIONSOCIAL DEVELOPMENTSOCIAL INSURANCESOCIAL MOBILIZATIONSOCIAL SECTORSSOCIAL SECURITYSOCIAL SUPPORTSTRATEGYSTUDENTSSURGERYTRADITIONAL HEALERSTRAININGTRAINING OF HEALTH PROFESSIONALSTRANSFER OF SKILLSUNIONSURBAN AREASVACCINATIONVACCINE COVERAGEVISITSVULNERABLE POPULATIONSWEIGHTWORKERSWORLD POPULATIONWorld Bank10.1596/978-0-8213-8535-7