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

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

by Benjamin Loevinsohn
 

ISBN-10: 0821375369

ISBN-13: 9780821375365

Pub. Date: 06/12/2008

Publisher: World Bank Publications

"Despite the presence of effective interventions, many developing countries are not on track to achieve the Millennium Development Goals for health due to the inadequate delivery of health services to the population. Contracting, particularly with nonstate providers, can improve the situation.

This 'Toolkit' draws on a review of 14 real-life examples of health

Overview

"Despite the presence of effective interventions, many developing countries are not on track to achieve the Millennium Development Goals for health due to the inadequate delivery of health services to the population. Contracting, particularly with nonstate providers, can improve the situation.

This 'Toolkit' draws on a review of 14 real-life examples of health services contracting in different developing countries to conclude that performance-based contracting can rapidly secure improvements in the coverage and quality of publicly financed health services.

Contracting is a mechanism for a financing entity to procure a defined set of services from private to nongovernmental sources. Performance-based contracting hinges on a clear set of objectives and indicators, systematic data collection to assess contractor performance, and some consequences for the contractor (rewards or sanctions) based on performance.

The systematic approach described in the 'Toolkit' provides guidance on how to effectively contract, and it addresses issues, such as how to
• Have a constructive dialogue with all stakeholders;
• Define health services, in terms of what services are to be delivered, where, the number of beneficiaries to be serviced, equitable access, and quality of care;
• Design appropriate monitoring and evaluation systems;
• Select contractors fairly and transparently;
• Draft contracts and bidding documents;
• Carry out the bidding process; and
• Arrange for effective contract management.

The practical "how-to guide" for successful contracting of health (and similar) services will be particularly useful to staff of government agencies, insurance companies, social insurance funds, nongovernmental organizations, faith-based organizations, and private health care providers, as well as international development partners."

Product Details

ISBN-13:
9780821375365
Publisher:
World Bank Publications
Publication date:
06/12/2008
Series:
Health, Nutrition, and Population Series
Pages:
224
Product dimensions:
5.90(w) x 8.90(h) x 0.50(d)

Table of Contents


Boxes, Figures, and Tables     vii
Why and How to Use This Toolkit     xi
Outline of the Toolkit     xiii
Acknowledgments     xv
Abbreviations     xvii
Summary of the Toolkit     1
Background: What Is Performance-Based Contracting?     1
How to Contract     2
Whether to Contract     6
What Is Performance-Based Contracting?     9
Introduction     9
What Is Contracting?     10
What Is Performance-Based Contracting?     11
What Kinds of Health Services Can Be Contracted?     11
How Is Contracting Different from Other Approaches to Organizing Health Services?     12
What Approaches to Contracting Work Best in Common Situations?     15
How Is Contracting Related to Pay for Performance?     16
How to Contract     19
Conduct Dialogue with Stakeholders     20
Define the Services     26
Design the Monitoring and Evaluation     37
Decide How to Select Contractors and Establish the Price     44
Arrange for Contract Management and Develop a Contract Plan     52
Draft the Contract and Bidding Documents     55
Carry Out the Bidding Processand Manage the Contract     64
Checklist for Contracting     67
Whether to Contract     69
The Evidence on Contracting     69
Methodology     70
Results     71
Discussion     72
Why Does Contracting Work?     82
What Are the Concerns about Contracting?     83
In What Context Will Contracting Work (or Not Work)?     93
Example of a Contracting Plan (or Manual) Strengthening Primary Health Care Services in Country X     97
World Bank Procurement Approach to Contracting for Health Services     119
Description of Evaluated Contracting Experiences     125
Terms of Reference for a Third-Party Evaluation of the Contracting Effort in Country X     161
Terms of Reference Examples     167
References     189
Index     195

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