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

Loevinsohn, Benjamin

Washington, DC : World Bank

关键词: AMBULANCE;    ANTENATAL CARE;    BEDS;    BEHAVIOR CHANGE;    BIRTH ATTENDANTS;   

DOI  :  10.1596/978-0-8213-7536-5
RP-ID  :  44821

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

This toolkit provides practical adviceto anyone involved in, or who is interested in becominginvolved in, performance-based contracting of healthservices with non state providers in the context ofdeveloping countries. It addresses many of the issues thatmay be encountered. Input from experienced contractingprofessionals will give newcomers increased confidence asthey go forward. Experts directly involved in contracting ona large scale have contributed to the development of thistoolkit. The first section provides summary before moving onto the main part of the toolkit. The section providesbackground on contracting, including definitions of keyterms, the types of services that can be contracted, howcontracting relates to other ways of organizing healthservices, and which contracting approaches work in differentsettings. The third section provides a systematic way ofthinking about contracting and how to do it in practice. Itlooks at seven aspects of the contracting process frominitial dialogue with stakeholders through carrying out thebidding process and managing contracts. This framework willhelp ensure a systematic consideration of the choices andchallenges. The fourth section provides checklist whichcontains tasks and issues to address while designing andimplementing a contract. The checklist can also be used toreview an existing contract to see what is missing or couldbe improved. The fifth and final section reviews theevidence for contracting in developing countries, exploreswhy contracting appears to work, and addresses concerns thathave been expressed about contracting.