Evidence map›Paper›PMID 41346084›Full record

ArticleHealth policy and planning2026

Facilitators and barriers of public-private partnerships for universal health coverage in sub-Saharan Africa: a scoping review.

Godfred Otchere, Adam Fusheini, Robin Gauld, Samuel Egyakwa Ankomah, Trudy Sullivan, Erin Penno

Abstract readScoping Review
In one paragraph

Article in Health policy and planning, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Godfred OtcherePreventive and Social Medicine, Dunedin School of Medicine, Health Sciences Division, University of Otago, 18 Frederick Street, Dunedin 9016, New Zealand.ORCID 0000-0001-8931-8661
Adam FusheiniPreventive and Social Medicine, Dunedin School of Medicine, Health Sciences Division, University of Otago, 18 Frederick Street, Dunedin 9016, New Zealand.ORCID 0000-0001-7896-3841
Robin GauldPreventive and Social Medicine, Dunedin School of Medicine, Health Sciences Division, University of Otago, 18 Frederick Street, Dunedin 9016, New Zealand.
Samuel Egyakwa AnkomahDepartment of Management, School of Business, University of Cape Coast, Private Mailbox, University Post Office, Cape Coast, Ghana.
Trudy SullivanPreventive and Social Medicine, Dunedin School of Medicine, Health Sciences Division, University of Otago, 18 Frederick Street, Dunedin 9016, New Zealand.
Erin PennoPreventive and Social Medicine, Dunedin School of Medicine, Health Sciences Division, University of Otago, 18 Frederick Street, Dunedin 9016, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Universal health coverage (UHC) provides a platform for attaining 'Health for All'. Attaining UHC requires substantial investment and resources in the health sector. This can be challenging for many sub-Saharan African (SSA) countries. Public-private partnerships (PPPs) could be a potential solution. The implementation of healthcare PPPs for developing health system capacities for UHC presents both significant opportunities and notable challenges. This scoping review, part of a broader review on PPPs, examines the facilitators and barriers of healthcare PPPs and their impact on UHC. The review was guided by Arksey and O'Malley's guidelines for conducting a scoping review. PubMed, Medline (Ovid), Global Health (Ovid), Web of Science, Scopus, and EconLit were searched for peer-reviewed English language publications from January 2013 to December 2023. Nineteen studies were eligible for the final analysis following screening of 944 studies. Identified key facilitators of PPPs for UHC included well-established institutional structures, robust accreditation systems, accountability mechanisms, and political will and support. These factors contributed to improving primary healthcare delivery, which is a critical dimension for UHC. Key barriers identified were limited capacity of implementing partners, regulatory inadequacies, and insufficient funds. These barriers negatively affected the performance of healthcare PPPs, which translates into systemic inequities in access to essential health services, impeding progress towards achieving UHC. Considering contract management capacity of implementers, sources and flow of funds, and regulatory frameworks are highly recommended for UHC to be realized using PPPs.

Indexed as

Public-Private Sector PartnershipsUniversal Health InsuranceAfrica South of the SaharaDelivery of Health CareHumanspublic–private partnershipssub-Saharan Africauniversal health coverage

Identifiers

PMID41346084
PMCPMC12828695

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.