Evaluating the private sector potential for franchising TB and HIV/AIDS diagnosis and care in Sub-Saharan Africa

Emma Jefferys, 2004. Study undertaken on behalf of WHO and the Rockefeller Foundation

This report provides facts and figures about mid-level private health care providers in nine African countries (Burkina Faso, Cameroon, Ethiopia, Malawi, Mozambique, Nigeria, Rwanda, Tanzania and Uganda). It documents:

• The existence, number, and geographic distribution of qualified medical doctors and mid-level providers (nurses, clinical officers, assistant nurse midwives or equivalent) operating privately and independently;
• The legal status and ability to prescribe drugs by private mid-level providers;
• Government attitude toward current private providers, and likely willingness to consider organised franchise as a model for expanding access, particularly to TB and HIV programmes;
• Estimate of incomes for mid-level providers.

The study was reported in: Private sector, human resources and health franchising in Africa (Ndola Prata, Dominic Montagu, & Emma Jefferys. WHO Bulletin, vol. 83, n. 4, April 2005). Download the article from the WHO website