Governance of Public Hospitals Benin | Côte d’Ivoire | Senegal - Governance of Public Hospitals Regional Trends and Country Cases

This study was carried out with stakeholders from different countries and presents a governance analysis of public hospitals in Benin, Côte d’Ivoire, and Senegal. Prepared in close collaboration with health authorities and other stakeholders, the study provides an overview of hospital governance in Benin, Côte d’Ivoire, and Senegal. For each country, it presents an overview of the hospital sector followed by an analysis of five dimensions of governance. Conclusions addressing governance challenges and potential reform measures close the analysis. The first part of this publication, which presents the trends in the countries of the study and in the subregion, is followed by the three country diagnostics using the same analytical structure. The study is based on the Organisation for Economic Co-operation and Development (OECD) Guidelines on Corporate Governance of State-Owned Enterprises and on the World Bank’s Corporate Governance of State-Owned Enterprises: A Toolkit. The analysis was carried out using the methodology of the OECD’s Guidelines (OECD 2015) and followsthe structure of the World Bank Toolkit (World Bank 2014). A questionnaire, developed on the basis of an adaptation of the methodology to the health sector, allowed data collection in central directorates and in hospitals. The analysis of the governance framework includes a review of the legal and regulatory framework, oversight arrangements, performance planning and monitoring, boards of directors and other hospital bodies, and transparency and disclosure.