Credit for Better Health Care Project

Private health providers can play an important role when developing a network of quality health services in rural and other underserved areas. The needs of private sector entities and small-scale health providers, however, are different. Easy access to credit by small-scale providers, in itself, is insufficient. Needs and constraints also should be addressed. This covers (i) technical support—referral networks, continuous training, and colleagues’ advice; and (ii) family support—access to schools for children, work opportunities for the spouse, safety, and other needs and constraints. These must be identified and addressed to develop quality health services in rural areas. Among small-scale health providers, midwives are essential to reduce maternal and child mortality in underserved areas, and their specific needs must be identified and met. Innovative solutions are required to facilitate access to small credit without multiplying intermediaries—DBP, learning from experience, has now developed specific credit programs. PPPs, in the health sector must offer value for money. The involvement of the private sector often improves efficiency, the quality of services, and peers’ support. A PPP policy in the health sector must be designed within the context of local conditions. Outsourcing ancillary services is good practice for improving efficiency.