Private Sector Health

Private Providers

One of the biggest challenges in working with the private health sector in service provision is finding the right structure to access private providers who typically operate in small, independent practices. Private health care provides are often isolated from training and professional development opportunities and difficult to reach in a cost-efficient manner. To address this issue in family planning, child health, and HIV/AIDS, Abt Associates works with doctors, nurses, midwives, and pharmacists. Specifically, we:

  • Strengthen associations that represent private health care providers;
  • Network private providers to ensure and expand the supply of quality health services;
  • Adapt and implement skills training curriculum to be more conducive to the needs of private providers;
  • Develop pre-service training curricula to ensure the sustainable generation of private service providers;
  • Facilitate partnerships with governments to leverage public sector financing through service contracts, and helps networks manage growth to achieve greater health impacts;
  • Develop strategies to recognize higher-performing private sector clinics and providers; and
  • Use technology for delivering information and improving competency to conduct follow-up training, collect service statistics, provide mobile-based learning applications, and use training protocols for improving quality of care.

Read more about service delivery.


INDIA: Can we reach more TB patients by changing the service delivery model?


When India needed universal coverage and improved access to TB care, Abt Associates designed and demonstrated the solution. Focusing on urban slums in Karnataka state, Abt with its partner, KHPT, pioneered a model combining outreach for improved awareness, communitylevel screening and engagement of private medical practitioners and public-private partnership. Over the past year, a quarter million people across 42 towns were reached. Mapping and capacity building helped form a network of 800 doctors and health workers. Improved access to certified investigations and adoption of standards of TB care by providers enabled diagnosis of 3,000 TB patients, 18 percent of whom are children. And of those, 11 percent are under age 5.
CLIENT: USAID / PROJECT: Strengthening Health Outcomes through the Private Sector (SHOPS)


SUB-SAHARAN AFRICA: Do private entrepreneurs hold a key to improving health in sub-Saharan Africa?

Sub-Saharan Africa is home to 11 percent of the world’s population, but 24 percent of the global disease burden. Yet entrepreneurs in countries such as Ethiopia and Kenya face an uphill battle obtaining funding to bring innovative, lower cost products and services to fruition. To address this need, Abt Associates is administering the HANSHEP Health Enterprise Fund, a challenge fund that provides financial and technical assistance to local health care entrepreneurs. The Fund allows groups such as Afya Research Africa to implement innovative solutions such as launching nine kiosk-style clinics in underserved areas that treated more than 2,500 patients in six months.
CLIENT: USAID / PROJECT: HANSHEP Health Enterprise Fund/Strengthening Health Outcomes through the Private Sector (SHOPS)

SHOPS Plus Fact Sheet: Catalyzing Public-Private Engagement to Save Children’s Lives
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Article: Improved Childhood Diarrhea Treatment Practices in Ghana
From 2011 to 2015, a diarrhea management program in Ghana increased caregiver use of oral rehydration salts with zinc to treat diarrhea in children under five, from 0.8 percent to 29.2 percent, and reduced antibiotic use – a generally inappropriate for treatment of non-bloody diarrhea – from 66.2 percent to 38.2 percent.
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