Performance-Based Contracting for Health Services in Developing Countries : A Toolkit

Benjamin Loevinsohn

ISBN 10: 0821375369 / ISBN 13: 9780821375365

Editore: World Bank Publications Jun 2008, 2008

Riguardo questo articolo

Neuware - Despite the existence of effective interventions, there are many developing countries which are not on track to achieve the Millennium Development Goals (MDGs) for health. In many countries, the delivery of health services is inadequate and one way of improving the situation is to contract with non-state providers. Effective contracting for health services can be facilitated by using a systematic approach, as described in this toolkit, which addresses key issues. The toolkit also includes a review of 14 evaluated examples of contracting in developing countries which concludes that the current weight of evidence indicates that contracting improves the coverage and quality of services rapidly.

Codice articolo 9780821375365

Dati bibliografici

• Titolo: Performance-Based Contracting for Health Services in Developing Countries : A Toolkit
• Editore: World Bank Publications Jun 2008
• Data di pubblicazione: 2008
• Lingua: Inglese
• ISBN 10: 0821375369
• ISBN 13: 9780821375365
• Rilegatura: Taschenbuch
• Condizione: Neu
• Dimensioni: 229 L x 152 A x 12 P (millimetri) 229 millimetri di larghezza per 152 millimetri di altezza per 12 millimetri di profondità
• Peso: 310 grammi

Descrizione articolo

Riassunto

Despite the presence of effective interventions, many developing countries are not on track to achieve the Millennium Development Goals for health due to the inadequate delivery of health services to the population. Contracting, particularly with nonstate providers, can improve the situation.This 'Toolkit' draws on a review of 14 real-life examples of health services contracting in different developing countries to conclude that performance-based contracting can rapidly secure improvements in the coverage and quality of publicly financed health services.Contracting is a mechanism for a financing entity to procure a defined set of services from private to nongovernmental sources. Performance-based contracting hinges on a clear set of objectives and indicators, systematic data collection to assess contractor performance, and some consequences for the contractor (rewards or sanctions) based on performance.The systematic approach described in the 'Toolkit' provides guidance on how to effectively contract, and it addresses issues, such as how to • Have a constructive dialogue with all stakeholders; • Define health services, in terms of what services are to be delivered, where, the number of beneficiaries to be serviced, equitable access, and quality of care; • Design appropriate monitoring and evaluation systems; • Select contractors fairly and transparently; • Draft contracts and bidding documents; • Carry out the bidding process; and • Arrange for effective contract management.The practical “how-to guide” for successful contracting of health (and similar) services will be particularly useful to staff of government agencies, insurance companies, social insurance funds, nongovernmental organizations, faith-based organizations, and private health care providers, as well as international development partners.

Product Description

Despite the existence of effective interventions, there are many developing countries which are not on track to achieve the Millennium Development Goals (MDGs) for health. In many countries, the delivery of health services is inadequate and one way of improving the situation is to contract with non-state providers. Effective contracting for health services can be facilitated by using a systematic approach, as described in this toolkit, which addresses key issues. The toolkit also includes a review of 14 evaluated examples of contracting in developing countries which concludes that the current weight of evidence indicates that contracting improves the coverage and quality of services rapidly.