Building Knowledge to Reform Hospital Management in Senegal : South-South Knowledge Exchange Hub
Printing Date: 02 September 2014
Report Permalink: http://wbi.worldbank.org/sske/result-story/1044
Source: http://wbi.worldbank.org/sske
Summary:
Reforms granting autonomy to Senegalese hospitals in 2002 did not lead to improvements in hospital
performance or financial management. Less than ten years after the reforms, a World Bank study requested by Senegalese policymakers found that hospitals were struggling financially and that management was not sufficiently accountable to any entity. Meanwhile, Moroccan and Tunisian hospital reforms had led to better health outcomes and more efficient hospital administration. At the request of the Senegalese government, the World Bank’s South-South Facility funded a knowledge exchange for Senegalese Ministry of Health officials, hospital managers, and union leaders to visit Tunisia and Morocco to learn about the regulatory measures adopted by their peers in those countries.
“To foster policy changes, it is always better to have other countries display their convincing policy reforms rather than rely on reports or presentations by consultants,” said Christophe Lemière, Senior Health Specialist with the World Bank, who helped organize the exchange.
While reforms in Senegal stopped short of creating a new agency to oversee hospital management, the study tours helped build awareness and increase consensus about the need for better hospital management accountability in Senegal. A decree passed by Senegal’s government mandated hospitals to sign multiyear performance contracts specifying annual goals and objectives for each hospital. Senegal implemented the Initial agreements in the spring of 2011.
“These exchanges helped us identify the missing elements in our hospital reform. From Morocco and Tunisia, we saw that granting more management autonomy to hospitals also requires more accountability,” said Dr.
Mboup, Director of Health Institutions in Senegal’s Ministry of Health and Prevention.
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