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

Author

Listed:
  • Benjamin Loevinsohn

Abstract

This toolkit provides practical advice to anyone involved in, or who is interested in becoming involved in, performance-based contracting of health services with non state providers in the context of developing countries. It addresses many of the issues that may be encountered. Input from experienced contracting professionals will give newcomers increased confidence as they go forward. Experts directly involved in contracting on a large scale have contributed to the development of this toolkit. The first section provides summary before moving on to the main part of the toolkit. The section provides background on contracting, including definitions of key terms, the types of services that can be contracted, how contracting relates to other ways of organizing health services, and which contracting approaches work in different settings. The third section provides a systematic way of thinking about contracting and how to do it in practice. It looks at seven aspects of the contracting process from initial dialogue with stakeholders through carrying out the bidding process and managing contracts. This framework will help ensure a systematic consideration of the choices and challenges. The fourth section provides checklist which contains tasks and issues to address while designing and implementing a contract. The checklist can also be used to review an existing contract to see what is missing or could be improved. The fifth and final section reviews the evidence for contracting in developing countries, explores why contracting appears to work, and addresses concerns that have been expressed about contracting.

Suggested Citation

  • Benjamin Loevinsohn, 2008. "Performance-Based Contracting for Health Services in Developing Countries : A Toolkit," World Bank Publications - Books, The World Bank Group, number 6481, December.
  • Handle: RePEc:wbk:wbpubs:6481
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    Citations

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    Cited by:

    1. Murodillo Abdusamadovich Latifov & Sundeep Sahay, 2013. "Challenges in Moving to "Health Information for Action": An Infrastructural Perspective From a Case Study in Tajikistan," Information Technology for Development, Taylor & Francis Journals, vol. 19(3), pages 215-229, July.
    2. Laurence Lannes & Bruno Meessen & Agnes Soucat & Paulin Basinga, 2016. "Can performance-based financing help reaching the poor with maternal and child health services? The experience of rural Rwanda," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(3), pages 309-348, July.
    3. Shima Lashgari & Jurgita Antuchevičienė & Alireza Delavari & Omid Kheirkhah, 2014. "Using QSPM and WASPAS methods for determining outsourcing strategies," Journal of Business Economics and Management, Taylor & Francis Journals, vol. 15(4), pages 729-743, September.
    4. Pliego Marugán, Alberto & García Márquez, Fausto Pedro & Pinar Pérez, Jesús María, 2022. "A techno-economic model for avoiding conflicts of interest between owners of offshore wind farms and maintenance suppliers," Renewable and Sustainable Energy Reviews, Elsevier, vol. 168(C).
    5. Witter, Sophie, 2012. "Health financing in fragile and post-conflict states: What do we know and what are the gaps?," Social Science & Medicine, Elsevier, vol. 75(12), pages 2370-2377.
    6. Klasa, Katarzyna & Greer, Scott L. & van Ginneken, Ewout, 2018. "Strategic Purchasing in Practice: Comparing Ten European Countries," Health Policy, Elsevier, vol. 122(5), pages 457-472.
    7. Laviolette, Luc & Gopalan, Sudararajan & Elder, Leslie & Wouters, Olivier J., 2016. "Incentivizing nutrition: how to apply incentive mechanisms to accelerate improved nutrition outcomes: a practitioner’s compendium," LSE Research Online Documents on Economics 68711, London School of Economics and Political Science, LSE Library.
    8. Loevinsohn, Benjamin & Haq, Inaam ul & Couffinhal, Agnes & Pande, Aakanksha, 2009. "Contracting-in management to strengthen publicly financed primary health services--The experience of Punjab, Pakistan," Health Policy, Elsevier, vol. 91(1), pages 17-23, June.
    9. Martin Chalkley & Andrew J. Mirelman & Luigi Siciliani & Marc Suhrcke & Peter Berman, 2020. "Paying for Performance for Health Care in Low- and Middle-Income Countries: An Economic Perspective," World Scientific Book Chapters, in: Paul Revill & Marc Suhrcke & Rodrigo Moreno-Serra & Mark Sculpher (ed.), Global Health Economics Shaping Health Policy in Low- and Middle-Income Countries, chapter 6, pages 157-190, World Scientific Publishing Co. Pte. Ltd..
    10. Herberholz, Chantal & Supakankunti, Siripen, 2015. "Contracting private hospitals: Experiences from Southeast and East Asia," Health Policy, Elsevier, vol. 119(3), pages 274-286.
    11. World Bank, 2008. "Nigeria—Improving Primary Health Care Delivery : Evidence from Four States," World Bank Publications - Reports 7784, The World Bank Group.
    12. Alberto Pliego Marug'an & Fausto Pedro Garc'ia M'arquez & Jes'us Mar'ia Pinar P'erez, 2024. "A techno-economic model for avoiding conflicts of interest between owners of offshore wind farms and maintenance suppliers," Papers 2401.08251, arXiv.org.

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