Over the past two or three decades, life expectancy and general popula-tion health has improved significantly in developing countries. In Southern Africa, even if the anti-retroviral drugs are reaching a huge diffusion and implementation, HIV/AIDS continues to be a major driver of mortality. Due to the growth in drug resistance, Tuberculosis is get-ting more complicated to fight. Eliminating Malaria still seems a distant possibility. The diseases once considered exclusive to wealthier coun-tries, like diabetes and cardiovascular diseases, are now exacting a very heavy toll. Healthcare infrastructure, particularly in rural areas, is se-riously underdeveloped, because the attention of the global health community has focused on vertical solutions to the major infectious dis-eases. The purpose of this Master Thesis is to analyze and discuss possible fu-ture progress of financial investments in healthcare sector, focusing on Southern African countries. Contextually, it wants to provide a set of guidelines – defined starting from a finite number of case studies – to drive future developments. In order to do that, the dissertation has been divided in two major parts. In the first part, it was conducted an analysis about the state-of-the-art of financial investments in healthcare in a defined basket of African states. In particular have being selected as target states: South Africa, Namibia, Botswana, Mozambique, and Zimbabwe. Angola – that is part of the Southern Africa states – was excluded from the panel because of the political instability that would make impossible to identify the real root cause under the existing financial investment situation. At the same time, East States were excluded from the analy-sis basket because they were long and thoroughly analyzed and dis-cussed in other similar white papers. The analysis has drawn in evidence a general trend – with some obvi-ous little differences – that shows an uncommon parity between private and public investments in healthcare, with the first assessed at beyond 50% of the total. Moreover, the analysis highlights that the type of in-vestments preferred by the private funds are the equity once. For this reason in the last section of the first part of the paper the attention will be focused on this particular type of investments. This unusual profile – outlined by the as-is situation analysis – has de-termined by economic, political, technical and social variables that are negative influencing investments in healthcare. In the second and last part, once all the major causes were being re-vealed, it has being possible to analyze different business cases about financial investments in healthcare sector in the selected countries and there are being identified a restricted number of Best Practice to follow as a good example to lead the future investments in this sector.
Innovative financing ways for healthcare in Southern Africa
LANCIA, ILARIA
2014/2015
Abstract
Over the past two or three decades, life expectancy and general popula-tion health has improved significantly in developing countries. In Southern Africa, even if the anti-retroviral drugs are reaching a huge diffusion and implementation, HIV/AIDS continues to be a major driver of mortality. Due to the growth in drug resistance, Tuberculosis is get-ting more complicated to fight. Eliminating Malaria still seems a distant possibility. The diseases once considered exclusive to wealthier coun-tries, like diabetes and cardiovascular diseases, are now exacting a very heavy toll. Healthcare infrastructure, particularly in rural areas, is se-riously underdeveloped, because the attention of the global health community has focused on vertical solutions to the major infectious dis-eases. The purpose of this Master Thesis is to analyze and discuss possible fu-ture progress of financial investments in healthcare sector, focusing on Southern African countries. Contextually, it wants to provide a set of guidelines – defined starting from a finite number of case studies – to drive future developments. In order to do that, the dissertation has been divided in two major parts. In the first part, it was conducted an analysis about the state-of-the-art of financial investments in healthcare in a defined basket of African states. In particular have being selected as target states: South Africa, Namibia, Botswana, Mozambique, and Zimbabwe. Angola – that is part of the Southern Africa states – was excluded from the panel because of the political instability that would make impossible to identify the real root cause under the existing financial investment situation. At the same time, East States were excluded from the analy-sis basket because they were long and thoroughly analyzed and dis-cussed in other similar white papers. The analysis has drawn in evidence a general trend – with some obvi-ous little differences – that shows an uncommon parity between private and public investments in healthcare, with the first assessed at beyond 50% of the total. Moreover, the analysis highlights that the type of in-vestments preferred by the private funds are the equity once. For this reason in the last section of the first part of the paper the attention will be focused on this particular type of investments. This unusual profile – outlined by the as-is situation analysis – has de-termined by economic, political, technical and social variables that are negative influencing investments in healthcare. In the second and last part, once all the major causes were being re-vealed, it has being possible to analyze different business cases about financial investments in healthcare sector in the selected countries and there are being identified a restricted number of Best Practice to follow as a good example to lead the future investments in this sector.File | Dimensione | Formato | |
---|---|---|---|
Innovative Financing Ways for Healthcare Sector in Southern Africa.pdf
non accessibile
Descrizione: Testo della tesi
Dimensione
2.47 MB
Formato
Adobe PDF
|
2.47 MB | Adobe PDF | Visualizza/Apri |
I documenti in POLITesi sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
https://hdl.handle.net/10589/117111