Throughout the world, governments aremoving from being exclusively service delivery organizationsand toward improving their public health sector managementand stewardship capacity. To diversify service provision,the Bangladesh Ministry of Health and Family Welfare (MOHFW)is striving to develop its capability to become activeservice purchasers in partnership with NGOs and private(for-profit) providers. This report is divided into fourchapters. Chapter 1 is an overview of the current role ofNGOs in the Bangladesh health sector and maps the NGOs HNPservice provision. Chapter 2 reviews the lessons learnt fromthe national NGO contracting experiences. Chapter 3describes the performance of selected NGO contracting modelsand draws lessons learnt using specific criteria related tolegal framework and governance aspects, bidding andselection process, flexibility of contracts, supervision andregular monitoring and evaluation, service quality, theaccessibility of the poor to services, user satisfaction,and opinions of NGO facility personnel. The findings of thecomparative advantage analysis are shown for NGOs, publicand private providers at the upazila level in terms ofquality, cost, pricing and accessibility. The primary sourceof information for this task consists of a sample of 50facilities. This chapter also presents policy options forpublic and private partnerships, specifically with regardsto what to do and how to do it to move forward onstrengthening the government's stewardship role and onpublicly financing the NGO and private sector to promotediversification of HNP service provision. Finally, Chapter 4presents the conclusions and recommendations.
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