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Enrollees in Nigeria, Kenya and Tanzania


Total disbursed loan amount in USD


Number of patient visits to SafeCare facilities per month


Number of active clinics in the SafeCare program


Public-private partnerships and new models of healthcare access

Jul 1, 2008

Purpose of review
The aim of this article is to lay the ground for the engagement and support of a well managed and effectively regulated private sector in the delivery of healthcare in sub-Saharan Africa.

Recent findings
About 60% of healthcare financing in sub-Saharan Africa comes from private sources, and about 50% of total health expenditure goes to private providers, often in the form of out-of-pocket contributions by the poor. Yet, regulatory frameworks are weak and private sector healthcare providers are hardly ever eligible to receive donor funds. Moreover, virtually no investments in healthcare are being made.

We argue for a healthcare reform in which government and private sector work together and in which the development of prepaid private insurance coverage for low-income people and commercial capital investments in healthcare delivery play a major role. Support for such solutions is growing. Many obstacles remain, however, in particular the stubborn insistence of the donor community to support only government initiatives in health, to the exclusion of the private sector.

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Author: Lange J.M.A., Schellekens O.P., Lindner M. and Gaag J. van der

Date: July 2008


On 12 September 2016, OPIC, Calvert Foundation and two private investors announce expansion
PharmAccess and its German consultancy partner GFA have won a 27.3 million Euros tender from the German development bank KfW to improve access to healthcare for low-income pregnant women in 5 regions of Tanzania.
President Felipe Nyuse of Mozambique officially opened the University Clinic


A population-based study
Date: September, 2015

Research findings on Health Insurance Fund supported programs

Date: February, 2015