Performance Based Contracting For Health Services In Developing Countries
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Performance-based Contracting for Health Services in Developing Countries
Author: Benjamin Loevinsohn
language: en
Publisher: World Bank Publications
Release Date: 2008-01-01
Despite the existence of effective interventions, there are many developing countries which are not on track to achieve the Millennium Development Goals (MDGs) for health. In many countries the delivery of health services is inadequate and one way of improving the situation is to contract with non-state providers. Contracting is a mechanism for a financing entity to procure a defined set of services from a non-state provider. Performance-based contracting is a type of contracting with: (a) a clear set of objectives and indicators; (b) systematic efforts to collect data to judge contractor performance; and (c) some consequences for the contractor, either rewards or sanctions, based on performance. Effective contracting for health services can be facilitated by using a systematic approach, described in this toolkit, that addresses key issues, including how to: 1. have a constructive dialogue with all stakeholders; 2. define the health services in terms of what services are to be delivered, where, the quantity of beneficiaries to be served, equity, and quality of care; 3. design the monitoring and evaluation to judge the performance of contractors; 4. select the contractors in a fair and transparent way; 5. arrange for effective contract management; 6. draft the contract and bidding documents; and 7. carry out the bidding process and successfully manage the contracts. The toolkit also includes a review of 14 evaluated examples of contracting in developing countries which concludes that the current weight of evidence indicates that contracting improves the coverage and quality of services rapidly. The six cases with controlled, before and after evaluations demonstrated large impact with themedian double difference (follow-up minus baseline in the experimental group minus follow-up minus baseline in the control) ranging from 9 to 26 percentage points.
Manual de pago por desempeño
Author: György Bèla Fritsche
language: en
Publisher: World Bank Publications
Release Date: 2015-07-21
Los enfoques de Pago por Desempeño (PPD) se han expandido con rapidez en los países de ingresos bajos y medios en todo el mundo. El número de países ha crecido de 3 en 2006 a 32 en 2013. Los esquemas de PPD están floreciendo y crean una demanda considerable de asistencia técnica a fin de ejecutar estas reformas sanitarias en una forma racional y responsable. Tres pioneros internacionales del PPD se han unido para dar una respuesta a esta demanda internacional. Ellos son: György Fritsche, MD, MSc (Banco Mundial, Washington); Robert Soeters, MD, PhD (SINA Health, La Haya); y Bruno Meessen, MA, PhD (Instituto de Medicina Tropical, Amberes). Su trabajo vuelca sus 40 años de experiencia total en el diseño e implementación de esquemas de PPD en un manual de PPD de vanguardia, dirigido a implementadores y hacedores de políticas. Se unió al equipo Godelieve van Heteren (MD; Erasmus University Rotterdam Global Health Initiative (RGHI)), quien realizó la co-edición a fin de darle al manual consistencia, contenido y formato. Cedric Ndizeye, MD, MPH (MSH, Ruanda), redactó las partes principales del capítulo sobre desarrollo de competencias, y Caryn Bredenkamp, PhD (Banco Mundial, Washington) contribuyó con el capítulo 5 sobre equidad. Actualmente, existe poco conocimiento entre muchos de los que ejecutan reformas sanitarias sobre cómo implementar proyectos piloto de pago por desempeño y cómo ampliarlos a nivel nacional en forma inteligente. En un contexto de gran demanda de un diseño sólido y experiencia en la implementación, y dada la rápida expansión de los programas de Financiación Basada en Resultados, existe una necesidad urgente de desarrollar competencias para el diseño e implementación de programas de FBR. Hasta el momento, ha habido poco interés en combinar las enseñanzas de esas experiencias en un solo volumen y, más aún, en un formato que sirva como guía a los implementadores. Este manual es una respuesta a las preguntas más urgentes sobre programas de FBR del lado de la oferta, del cual el PPD es parte. Este manual estará disponible en una versión on-line, que será actualizada en forma regular, y una versión impresa en 3 idiomas (inglés, francés y español).
Global Health Economics: Shaping Health Policy In Low- And Middle-income Countries
This book contains a collection of works showcasing the latest research into global health economics conducted by leading experts in the field from the Centre for Health Economics (CHE) at the University of York and other partner research institutions. Each chapter focuses upon an important topic in global health economics and a number of separate research projects. The discussion delves into health care policy evaluation; economic evaluation; econometric and other analytic methods; health equity and universal health coverage; consideration of cost-effectiveness thresholds and opportunity costs in the health sector; health system challenges and possible solutions; and others. Case study examples from a variety of low- and middle-income countries (LMIC) settings are also showcased in the final part of this volume.The research presented seeks to contribute toward increasing understanding on how health policy can be enhanced to improve the welfare of LMIC populations. It is strongly recommended for public health policymakers and analysts in low- and middle-income country settings and those affiliated to international health organizations and donor organizations.