The Experience of Private Hospitals In the Republic of Yemen Success and Problems. Dr. Ali K. Abbas Yemen International Health & Education Consultants. Introduction:. Yemen just like many other developing countries has provided health care services free of charge for a long period of time
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The Experience of Private HospitalsIn the Republic of YemenSuccess and Problems
Dr. Ali K. Abbas
Health & Education Consultants
Yemen just like many other developing countries has provided health care services free of charge for a long period of time
In early 1990s:
MOPH&P has approved
the ownership of health facilities
by non-health staff
It is the responsibility of MOPH&P to actively influence the development of the private sector:
The first and most important step…
To influence and strengthen
The private sector … is the presence of:
Laws and Regulations …Norms and Standards ….
At the beginning:
Because of lack of clear and comprehensive regulations and problems in licensing, monitoring and quality of health services
On the 29th of December 1999:
The President of the republic of Yemen has signed the Law No. (60)
“Private Medical and Health Establishments”
Private Medical and Health Establishment is:
any place made for examining and/or treating and/or nursing and/or dispensing pharmaceutical products to patients and those places contributing to the provision of primary health care services
Hospitals, polyclinics, medical centers, radiological centers, medical laboratories, athletic medical centers, audio and visual medical centers, rehabilitation and physiotherapy centers, tooth laboratories, private clinics, pharmacies …etc
modern scientific and technical regulations and standards
The law gives the existing medical and health establishments one year to follow the technical regulations and three years to follow the physical regulations.
Determines that the cabinet should issue an executive bylaw that includes the technical and physical standards forall private medical and health establishments
In many cases, there is lack of confidence and poor communication between the private and public sectors …
It is very important to understand that strengthening the public sector’s capacity to regulate the private sector can well be in the best interest of both sides. Responsible private health service providers will benefit from standards when this keeps unqualified competition out of the business
* The executive BYLAWS has not been fully identified issued neither been implemented.
* Neither Technical nor Physical norms and standards has been developed
* The (3) years has passed with no real changes in the situation of the private sector.
The private sector is presently largely unregulated
There is enough anecdotal evidence available to conclude that quality and safety standards in the private sector are LOW
* Private (fee-taking) for profit hospitals and other health facilities in 1998 estimated to be around 9500 establishment in the country, 550 out of which were hospitals (with uncertain number of beds).
* During the last few years, many hospitals has been closed and new bigger and better hospitals has been opened and there are still few more to be established.
* The good and efficient services will force the worse to either get better or step a side for the best interest of the customer…
* The main opportunity available to improve the quality of health services is in wider competition rather than laws and regulation enforcement.