Due to the rapid increase in the urban population, public sector health services in urban settings are under strain. There are limited accessible and available health facilities with insufficient medicines and supplies and inadequate health workers with training appropriate to the changing disease burden in the public health system. Over time, these gaps in the public sector have given rise to a burgeoning private sector which include the for-profit, the non-governmental, and informal health sector. City governments are often responsible for monitoring and regulating these services, however, due to their limited capacity, they struggle to ensure quality and safety across this complex range of providers
