Performance-Based Contracting for Health Services in Developing Countries

Abstract

No AccessHealth, Nutrition, and Population1 Feb 2013Performance-Based Contracting for Health Services in Developing CountriesA ToolkitAuthors/Editors: Benjamin LoevinsohnBenjamin Loevinsohnhttps://doi.org/10.1596/978-0-8213-7536-5SectionsAboutPDF (2.6 MB) ToolsAdd to favoritesDownload CitationsTrack Citations ShareFacebookTwitterLinked In Abstract: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. Contracting is a mechanism for a financing entity to procure a defined set of services from a non-state provider. Performance-based contracting is a type of contracting with: (a) a clear set of objectives and indicators; (b) systematic efforts to collect data to judge contractor performance; and (c) some consequences for the contractor, either rewards or sanctions, based on performance. Effective contracting for health services can be facilitated by using a systematic approach, described in this toolkit, that addresses key issues, including how to: 1. have a constructive dialogue with all stakeholders; 2. define the health services in terms of what services are to be delivered, where, the quantity of beneficiaries to be served, equity, and quality of care; 3. design the monitoring and evaluation to judge the performance of contractors; 4. select the contractors in a fair and transparent way; 5. arrange for effective contract management; 6. draft the contract and bidding documents; and 7. carry out the bidding process and successfully manage the contracts. 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. The six cases with controlled, before and after evaluations demonstrated large impact with the median double difference (follow-up minus baseline in the experimental group minus follow-up minus baseline in the control) ranging from 9 to 26 percentage points. Previous book FiguresReferencesRecommendedDetailsCited ByWhole-process performance management of government procurement: a quantitative analysis of 58 policy textsSN Business & Economics, Vol.1, No.1210 November 2021Does contracting-out of primary health care services to non-state providers reduce child mortality in South Sudan? 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The Renegotiation of Public and Private in Global PoliticsContracting-in management to strengthen publicly financed primary health services—The experience of Punjab, PakistanHealth Policy, Vol.91, No.1Public sector institutions, politics and outsourcing: Reforming the provision of primary healthcare in Punjab, PakistanJournal of International Development, Vol.43 View Published: June 2008ISBN: 978-0-8213-7536-5e-ISBN: 978-0-8213-7537-2 Copyright & Permissions Related TopicsHealth Nutrition and Population KeywordsCLINICSCOMMUNITY HEALTHDIPHTHERIAHEALTH SERVICESIMMUNIZATIONIMMUNODEFICIENCYINTERVENTIONNUTRITIONPRIMARY HEALTH CAREWORKERS PDF DownloadLoading ...

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