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Vol. 36. Issue 6.
Pages 333-339 (November - December 2021)
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Vol. 36. Issue 6.
Pages 333-339 (November - December 2021)
Original article
The effectiveness of private services in public hospitals: The case of St. Paul Hospital, Addis Ababa, Ethiopia
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F. Girmaa,
Corresponding author
fitsumgirma1980@gmail.com

Corresponding author.
, Y. Abejeb, G. Tamratc
a USAID, Addis Ababa, Ethiopia
b Millennium Medical College, Addis Ababa, Ethiopia
c Addis Ababa University, Addis Ababa, Ethiopia
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Tables (3)
Table 1. Total number of specialist doctors in the six years after the establishment of private wing services in St. Paul Hospital, January 2016.
Table 2. Net revenues generated (to the hospital) from the private wing services in St. Paul Hospital, January 2016.
Table 3. Average number of surgeries (minor and major) per year before and after private wing service establishment (2009) in St. Paul Hospital, January 2016.
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Abstract
Background

Retention of doctors had been a big challenge for Ethiopian public hospitals. Private wing service in public hospitals was established in Ethiopia in 2009 with major objectives of retaining specialist doctors and improving access to health services.

Objective

This study was conducted to assess the effectiveness of the private wing services in St. Paul Hospital.

Methods

Qualitative and quantitative data were collected in January 2016. Focus group discussions, key informant interviews and documents review were conducted. A total of 37 participants were included in the study. The discussions and interviews were conducted with specialist doctors, nurses, anesthetists and members of the hospital management team. Consent was obtained from all participants before the data collection. All data were transcribed verbatim, typed and stored safely. Then content and thematic analysis was conducted.

Results

Most of the participants agreed that the private wing arrangement had contributed to the motivation and retention of specialist doctors most notably the surgeons in the hospital. The number of specialist doctors in the hospital increased over the 6 years after the establishment of the private wing by 223%. Most participants mentioned that the hospital benefitted from the private wing. The number of major surgeries conducted in the regular service of the hospital increased by four folds over the six years. In the same period, a total of 8,975,967 ETB was generated to the hospital.

Conclusion

The private wing in St. Paul hospital was successful as it contributed to the retention and motivation of specialist doctors and improved access to health services. Other public hospitals may consider establishing private wing services.

Keywords:
Private services
Motivation
Staff engagement
Health services

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