Summary: This study evaluates the role of the private sector in the health care system of the Republic of Congo, reviews options to increase private sector contribution to the health system and defines how to improve the joint public-private sector to increase equity, access and efficiency. This report states that the private sector did not begin to play a role in the health of Republic of Congo until 1988, when its participation was officially recognized. From then on, the role of private actors in the health field has increased considerably and for this reason, goods and services provided by the private sector are also very important in urban areas, primarily through service providers, pharmacies and laboratories and for-profit in rural areas, through faith-based organizations. However, little information is available regarding the role of the private sector. The exercise of the health map of 2005 provided a "snapshot" of both public and private providers, but the updates from this date has been erratic and incomplete. Simultaneously, the policy statements of the Ministry of Health indicated an interest in collaboration and coordination between public and private sectors. Despite these reports, little has been carried out. More generally, in areas other than health, there has been an opening towards greater private sector involvement in the Congolese economy but this increased effort has slightly affected the health sector. Finally, although the Congo is blessed with oil resources, which have propelled it to the rank of Lower middle income countries, these health indicators are more similar to adverse levels of low-income neighbors. The Institute Results for Development Institute (R4D) has carried out research to determine the current role of the private health sector. This work has included a diagnosis of the nature and efficiency of the interface between the public and private sectors, establishing a policy dialogue with stakeholders, and making recommendations for reform to strengthen the commitment of private to public-middle income sectors.
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