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
- Challenges in developing non state sector public health services
- ( S. Bennett;K. Hanson;P. Kadama / World Health Organization , 2005)
- In both urban and rural settings, private for-profit and non-profit health care providers and suppliers of health related commodities serve both the rich and the poor. This paper from the World Health...
- Social franchising for health service delivery
- ( T.P. Koehlmoos;R. Gazi;S.S. Hossain / Cochrane Library , 2009)
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Governments are looking for ways to increase the access to and quality of health care services in low- and middle-income countries. This review from the The Cochrane Collaboration shows how a syste...
