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- W2016198508 abstract "Abstract Background There is debate about the role of the private sector in the delivery of health services in low-income and middle-income countries and its potential contribution towards achieving universal health coverage. However, what share of health services are being provided by the private sector is poorly understood. I investigated the share and trends of selected health services delivered by the private sector in low-income and middle-income countries from 1990, to 2012. Methods Using data from 198 Demographic and Health Surveys from 70 countries done between 1990 and 2012, I calculated the share of key maternal, child, and reproductive health services (source of treatment of diarrhoea, source of treatment of fever or cough, source of modern family planning methods, location of delivery, and location of antenatal care) that were provided by the private medical sector and assessed trends over time. I weighted the estimates by the population of the countries included in our sample. I also assessed differences in patterns of use by socioeconomic background of households. Findings The private medical sector provided more than half of treatments for diarrhoea (54%) and fever or cough (57%) but substantially less for other health services: family planning (31%), deliveries (13%), and antenatal care (27%). Use of the private sector did not change over time, with the exception of deliveries; however, over the same period the public sector gained a greater market share than did the private sector for deliveries. Wealthier, more educated, and urban households were more likely than were other households to use the private sector. Interpretation The private sector plays an important—although not necessarily dominant—part in the provision of health services in low-income and middle-income countries. It is an important complement to public health services and governments should further engage the private sector as they move towards universal health coverage. Funding World Bank, International Finance Corporation." @default.
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- W2016198508 date "2014-10-01" @default.
- W2016198508 modified "2023-09-28" @default.
- W2016198508 title "The role of the private sector in delivering maternal and child health services in low-income and middle-income countries: an observational, longitudinal analysis" @default.
- W2016198508 doi "https://doi.org/10.1016/s0140-6736(14)61870-5" @default.
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