The review seeks to answer the following questions:
- What are the different approaches adopted to govern the private sector?
- How effective are these approaches?
- What are the key enablers of, and barriers to, the adoption of these approaches, and what potential avenues have been identified to strengthen Governance Behaviours across different contexts?
Narrative synthesis was conducted on 108 included studies published since 2010, structured around the three research questions for each of the six WHO Governance Behaviours (Deliver Strategy, Enable Stakeholders, Foster Relations, Build Understanding, Align Structures and Nurture Trust), and an additional cross-cutting theme on capacities for governing the private sector.
This report presents the findings around each Governance Behaviour and provides cross-cutting lessons for those involved in governance of the private sector and evidence generation in relation to it. The results of the review have been used to develop a Progression Pathway for the Governance of Mixed Health Systems, to assist countries in assessing their governance capacities relating to work effectively with the private sector, prioritising actions to improve governance, and tracking progress over time. The review also highlights important areas for future evidence generation on this important, but neglected, topic.