Given the billions of aid dollars spent to improve the health systems of Africa, it may surprise you to learn that the majority of Africans still turn to the private sector for their health care. Not because the private sector provides cheaper prices. But rather, for many, it remains the only option.
But who will pay? Building these skills is neither easy nor cheap. And investors are certainly not lining up to lose money (despite the tremendous social impacts on offer), let alone to "get real", in West's words, and take significant risks with large sums rather than drip-feeding capital through smaller, short-term investments, and at a distance.