Towards developing new private sector obstetric care and contracting models in South Africa: Insights from public hospitals using private general practitioners to provide caesarean deliveries
Maternal healthcare in South Africa faces huge private and public health systems challenges. A key challenge for policy makers is how to address the inappropriate patterns of obstetric care in the private sector and how to mobilise private sector resources to serve the broader population depend...
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| Format: | Article |
| Language: | English |
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South African Medical Association
2024-04-01
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| Series: | South African Medical Journal |
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| Online Access: | https://samajournals.co.za/index.php/samj/article/view/1531 |
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| author | G C Solanki T Doherty V Brijlal E Daviaud S Fawcus |
| author_facet | G C Solanki T Doherty V Brijlal E Daviaud S Fawcus |
| author_sort | G C Solanki |
| collection | DOAJ |
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Maternal healthcare in South Africa faces huge private and public health systems challenges. A key challenge for policy makers is how to address the inappropriate patterns of obstetric care in the private sector and how to mobilise private sector resources to serve the broader population dependent on the public sector, without replicating those patterns of inappropriate care. Developing and implementing new obstetric care models that address these challenges and lend themselves to public private engagements could play a vital role in efforts to improve obstetric care in the country. Drawing on insights from research we carried out on the care and contracting models used by five rural district hospitals in the Western Cape Province to contract private general practitioners to provide caesarean delivery services, this article outlines a potential alternative private sector obstetric care model with the aim of stimulating discussion by all relevant stakeholders on the development of new obstetric models for improving obstetric care in the country.
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| format | Article |
| id | doaj-art-9cee0c8f7032435483e51965138604e1 |
| institution | Kabale University |
| issn | 0256-9574 2078-5135 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | South African Medical Association |
| record_format | Article |
| series | South African Medical Journal |
| spelling | doaj-art-9cee0c8f7032435483e51965138604e12025-02-10T12:26:19ZengSouth African Medical AssociationSouth African Medical Journal0256-95742078-51352024-04-01114410.7196/SAMJ.2024.v114i4.1531Towards developing new private sector obstetric care and contracting models in South Africa: Insights from public hospitals using private general practitioners to provide caesarean deliveriesG C Solanki0T Doherty1V Brijlal2E Daviaud3S Fawcus4Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa; Health Economics Unit, School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, South Africa; NMG Consultants and Actuaries, Cape Town, South AfricaHealth Systems Research Unit, South African Medical Research Council, Cape Town, South Africa; Department of Paediatrics and Child Health, Faculty of Health Sciences, University of Cape Town, South AfricaClinton Health Access Initiative, Pretoria, South AfricaHealth Systems Research Unit, South African Medical Research Council, Cape Town, South AfricaDepartment of Obstetrics and Gynaecology, Faculty of Health Sciences, University of Cape Town, South Africa Maternal healthcare in South Africa faces huge private and public health systems challenges. A key challenge for policy makers is how to address the inappropriate patterns of obstetric care in the private sector and how to mobilise private sector resources to serve the broader population dependent on the public sector, without replicating those patterns of inappropriate care. Developing and implementing new obstetric care models that address these challenges and lend themselves to public private engagements could play a vital role in efforts to improve obstetric care in the country. Drawing on insights from research we carried out on the care and contracting models used by five rural district hospitals in the Western Cape Province to contract private general practitioners to provide caesarean delivery services, this article outlines a potential alternative private sector obstetric care model with the aim of stimulating discussion by all relevant stakeholders on the development of new obstetric models for improving obstetric care in the country. https://samajournals.co.za/index.php/samj/article/view/1531Obstetric carepublic-private partnershipnational health insuranceuniversal health coverage |
| spellingShingle | G C Solanki T Doherty V Brijlal E Daviaud S Fawcus Towards developing new private sector obstetric care and contracting models in South Africa: Insights from public hospitals using private general practitioners to provide caesarean deliveries South African Medical Journal Obstetric care public-private partnership national health insurance universal health coverage |
| title | Towards developing new private sector obstetric care and contracting models in South Africa: Insights from public hospitals using private general practitioners to provide caesarean deliveries |
| title_full | Towards developing new private sector obstetric care and contracting models in South Africa: Insights from public hospitals using private general practitioners to provide caesarean deliveries |
| title_fullStr | Towards developing new private sector obstetric care and contracting models in South Africa: Insights from public hospitals using private general practitioners to provide caesarean deliveries |
| title_full_unstemmed | Towards developing new private sector obstetric care and contracting models in South Africa: Insights from public hospitals using private general practitioners to provide caesarean deliveries |
| title_short | Towards developing new private sector obstetric care and contracting models in South Africa: Insights from public hospitals using private general practitioners to provide caesarean deliveries |
| title_sort | towards developing new private sector obstetric care and contracting models in south africa insights from public hospitals using private general practitioners to provide caesarean deliveries |
| topic | Obstetric care public-private partnership national health insurance universal health coverage |
| url | https://samajournals.co.za/index.php/samj/article/view/1531 |
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