Practices And Challenges Of Private Wing In Addis Ababa Hospitals

Private wings have been implemented on a small scale within Ethiopian public hospitals.rnThese ‘differentiated amenities’ involve the provision of better services to patients who,rnunder a fee-for-service reimbursement mechanisms, pay out-of-pocket or through medicalrninsurance. The public sector objectives for these wings include retention of highly qualifiedrnhealth personnel, additional revenue generation as well as wider benefits to the publicrnhealth system, leading to better access for middle income class population groups andrndevelopment of new models of service delivery which will help to finance the health system.rnAccording to the status report of health care financing synthesis report in 2005 EC, Ethiopiarnhas about 45 hospitals which have established private wings and out of these sevenrnhospitals are in Addis; among these hospitals in Addis, four are administered by AddisrnAbaba city Administration. The study was conducted with the objective of investigatingrnPrivate wing Practices and Challenges of Hospitals in Addis Ababa and to identify the mainrnchallenging factors. In order to achieve this objective, primary data were collected from fourrnselected hospitals administered in Addis Ababa City Administration. Sixty patients, sixtyrnhealth professionals, four Chief Executive Officers (CEO's) through questionnaires, keyrninformant interview (KII) with concerned bodies and Patient Exit Interviews were used torngather relevant information directly from service users. Secondary data were collected fromrnHSFR (Health Sector Financing Reform) guidelines, TAG (Technical Advisory Group)rnreports, and PW (Private Wing) performance reports. Results of the study indicate thatrnconflict of interest, Existence of Contextual differences in the operation of private wing,rnUnfair revenue sharing and unequal service provision, Gaps in legal frame work, Demandrnfor specialized and selective services, Unregulated fee levels for private wing services,rnAbsence of systematized regulatory mechanisms are important and challenging factors thatrninfluence the private wing system.rnFinally, to enhance the existing functioning system of private wings, this study madernrecommendations Federal Ministry of Health and Hospital's management to deliberaternconsidering the resources available for the sustainability and success of private wings.rnKey words: Private wing, challenge, practice, prospect, health professionals and patients

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