Contracting for the Delivery of Primary Health Care in Cambodia : Design and Inital Experience of Large Pilot Test

• Tác giả: Benjamin Loevinsohn
• Ngôn ngữ: eng
• Ký hiệu phân loại: 828.99 English-language literatures not requiring local emphasis
• Thông tin xuất bản: World Bank, Washington, DC, 2014
• Bộ sưu tập: Tài liệu truy cập mở
• ID: 291752
• Chủ đề: 1. ANTENATAL CARE; 2. BULLETIN; 3. COMPETITIVE BIDDING; 4. DECISION MAKING; 5. DEVELOPING COUNTRIES

Tóm tắt

 Despite the potential benefits of contracting with the private sector for delivery of publicly-financed health services, its effectiveness and efficiency has rarely been evaluated. This paper describes the design and early implementation experience of a project in Cambodia that is pilot-testing contracting with non-governmental organizations (NGOs) for the delivery of primary health care on a large scale. Three approaches are assessed: Contracting out (CO) in which contractors have complete authority for hiring, firing, and paying staff as well as procuring drugs and supplies
  Contracting in (CI) where contractors provide management services within the existing district health structure
  and comparison/control (CC) where the existing district health management teams receive a budget supplement (as do CI districts).