Policy Briefs on THE

ECONOMIC IMPACT OF HIV

Impact of HIV

Brief 15: Public and Private Provision of Health and HIV Services

By Markus Haacker, Kate Harris, Gesine Meyer-Rath

December 2021

Key Points

  • Private sector provision of health services – through for-profit, not-for-profit and informal providers – is widespread in low- and middle-income countries, and has played a role in the provision of HIV services.

  • Public-private partnerships describe more evolved collaborations between the government, the private sector and, frequently, donors, and have played a role especially in capacity building and technology transfer.

 

  • Empirical evidence on the role of private-sector service provision is hampered by the great heterogeneity of private health providers. Overall, private-sector providers appear roughly as effective in providing HIV-related services as public services, and they disproportionately serve wealthier populations. 

 

  • The potential to improve coverage, efficiency and equity of health services by complementing public services with private-sector involvement depends on local context and the nature of barriers to access.
Download PDF HIV Impact

Technical Briefs

The technical briefs provide more detail on the evidence available on each of the topics.

1. The State of Programme Implementation to Reduce HIV Transmission & Aids-Related Mortality

2. Increased Health and Life Prospects and Their Economic Valuation

3. HIV, Population Dynamics and the Labour Force

4. Human Capital

5. Capital and Investment

6. Productivity and Employment of People Living with HIV

7. Economic Growth – Overview

8. Interactions Between HIV and Poverty

9. Disease Burden Across Population Sub-Groups

10. Trade-offs between Allocation to Health and Other Sectors

11. Domestic Public Funding for HIV

12. Trade-offs and Synergies between HIV and Other Health Objectives

13. Assessing Cost Effectiveness Across HIV and Health Interventions

14. External and Domestic Health Financing, and the Role of Public vs. Private Domestic Health Funding

15. Public and Private Provision of Health and HIV Services

16. Trade-offs within the HIV Budget

17. The Economics of HIV and of HIV Programmes in the Era of Covid-19

Brief 15: Public and Private Provision of Health and HIV Services

By Markus Haacker, Kate Harris, Gesine Meyer-Rath

December 2021

Key Points

  • Private sector provision of health services – through for-profit, not-for-profit and informal providers – is widespread in low- and middle-income countries, and has played a role in the provision of HIV services.

  • Public-private partnerships describe more evolved collaborations between the government, the private sector and, frequently, donors, and have played a role especially in capacity building and technology transfer.

 

  • Empirical evidence on the role of private-sector service provision is hampered by the great heterogeneity of private health providers. Overall, private-sector providers appear roughly as effective in providing HIV-related services as public services, and they disproportionately serve wealthier populations. 

 

  • The potential to improve coverage, efficiency and equity of health services by complementing public services with private-sector involvement depends on local context and the nature of barriers to access.
Download PDF HIV Impact

Technical Briefs

The technical briefs provide more detail on the evidence available on each of the topics.

1. The State of Programme Implementation to Reduce HIV Transmission & Aids-Related Mortality

2. Increased Health and Life Prospects and Their Economic Valuation

3. HIV, Population Dynamics and the Labour Force

4. Human Capital

5. Capital and Investment

6. Productivity and Employment of People Living with HIV

7. Economic Growth – Overview

8. Interactions Between HIV and Poverty

9. Disease Burden Across Population Sub-Groups

10. Trade-offs between Allocation to Health and Other Sectors

11. Domestic Public Funding for HIV

12. Trade-offs and Synergies between HIV and Other Health Objectives

13. Assessing Cost Effectiveness Across HIV and Health Interventions

14. External and Domestic Health Financing, and the Role of Public vs. Private Domestic Health Funding

15. Public and Private Provision of Health and HIV Services

16. Trade-offs within the HIV Budget

17. The Economics of HIV and of HIV Programmes in the Era of Covid-19

Wits Health Consortium, University of the Witwatersrand