Comments on: 4 opportunities to enrich guidance for public-private engagement in health https://staging.r4d.org/blog/opportunities-to-enrich-guidance-for-public-private-engagement-in-health/ Corporate Website Thu, 24 Jun 2021 13:06:08 +0000 hourly 1 https://wordpress.org/?v=7.0.2 By: Cicely Thomas https://staging.r4d.org/blog/opportunities-to-enrich-guidance-for-public-private-engagement-in-health/#comment-15840 Tue, 09 Feb 2021 17:56:30 +0000 https://r4d.org/?p=9415#comment-15840 In reply to Gabrielle Appleford.

Gabbie thanks so much for making this connection. I really like this concept of retool for systems and retire those that aren’t useful in this regard!

]]> By: Katherine Jennings https://staging.r4d.org/blog/opportunities-to-enrich-guidance-for-public-private-engagement-in-health/#comment-15746 Mon, 11 Jan 2021 22:18:32 +0000 https://r4d.org/?p=9415#comment-15746 I thoroughly enjoyed reading this blog post and appreciate the level of effort that went into it – thank you for sharing. Our team is currently reviewing PSE activities in Africa and so it is helpful to gain an understanding of the vast range of tools and guides available. They are more important now than ever in the era of COVID-19!

]]> By: Gabrielle Appleford https://staging.r4d.org/blog/opportunities-to-enrich-guidance-for-public-private-engagement-in-health/#comment-15738 Sun, 10 Jan 2021 07:04:31 +0000 https://r4d.org/?p=9415#comment-15738 Dear R4D colleagues,
Thanks for generating a useful discussion on tools. I completely agree that we need to better understand who the target user is and if tools are used and useful, before deciding that we need yet more tools. Below is an excerpt from a WHO landscaping of the private sector in mixed health systems, that starts from the basis of foundation of accountability.

Systems, not symptoms – retool for systems level, retire tools that are inefficient or not effective.

There is need to reorient donor funded work around accountability to focus more on systems, and less on symptoms. This body of work, often implemented by NGOs within the social accountability sphere, has contributed to a proliferation of micro-level efforts (Kruk, et al, 2018). These may drain resources and shift attention from investment in system-wide strategies and their implementation. Systemic efforts may require re-tooling or, more likely, optimization of existing tools, and their institutionalisation. As noted, calls for “more accountability” are often related to changing the focus and purpose of accountability, rather than simply to do “more of the same” (Romzek 2000 in Brinkerhoff, 2003). This may require greater intentionality to accountability by design within new or existing systems, programmes and policies. These efforts should seek to apply the same accountability levers to the public and private sectors over the long-term, as these “take time, can be disruptive initially, but eventually start to function” (Expert interview).
https://www.who.int/publications/i/item/strategy-report-engaging-the-private-health-service-delivery-sector-through-governance-in-mixed-health-systems

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