Contracting
In efforts to achieve better performance and greater accountability in the public sector, service providers are being given increasing autonomy. To enable this to work, service provider's inputs and outputs are increasingly specified and agreed through a form of contract or agreement that seeks to protect the public interest.
This is particularly important when public finance is being directed to private (non-profit and for-profit) service providers to supply public services. Contracting deals with the various ways in which this can be done, and the problems encountered in practice.
- Contracting for health: evidence from Cambodia
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This Brookings Institution report assesses the impact of contracting out the management of government health services to NGOs in Cambodia. The contracts specified targets for maternal and child health service improvement. Contractors were required to provide all preventative, promotional and curative health care services mandated for a district, and were responsible for services at district hospitals, sub-district health centres and remote health posts.
Recommended readings
- Contracting and performance management in the health sector: a guide for low and middle income countries
- ( R. England / Department for International Development Health Systems Resource Centre , 2000)
- What are health service ‘contracts’, what are the potential problems with contracting, and what should contracts contain within them? This toolkit, written for the UK Department For International Deve...
- Contracting for primary health services: evidence on its effects and a framework for evaluation
- ( X. Liu; D. Hotchkiss; S. Bose; R. Bitran / Partners for Health Reformplus , 2004)
- Recommended reading
- This paper, produced by Partnerships for Health Sector Reform/plus, discusses the effectiveness of contracting out primary care services as a tool for health reform. The paper provides a short histor...
- Achieving the twin objectives of efficiency and equity: contracting heath services in Cambodia
- ( I. Bhushan; S. Keller; B. Schwartz / Asian Development Bank Institute , 2002)
- How do health indicators between Cambodian districts compare with conventional government provision of health services and those in which the services have been contracted out to non-governmental orga...
Latest Additions
- Analysis of non-state providers of health, education and water services in India
- ( P. Nair / International Development Department, University of Birmingham , 2004)
- This paper examines the relationships between the government and non-state providers (NSP) of health, education and water services in India. It focuses on government interventions to regulate and supp...
- The role of non-state providers of health, education and water in Malawi
- ( E. Kadzamira; D. Moran; J.| Mulligan / International Development Department, University of Birmingham , 2004)
- This paper assesses the role that non-state providers (NSP) play in delivering health services, water and education in Malawi. The paper examines levels of knowledge about NSP; dialogue between govern...
