NGO Contracting Evaluation for the HNP Sector in Bangladesh : Evidence and Policy Options
Throughout the world, governments are moving from being exclusively service delivery organizations and toward improving their public health sector management and stewardship capacity. To diversify service provision, the Bangladesh Ministry of Healt...
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| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2005/05/7174270/ngo-contracting-evaluation-hnp-sector-bangladesh http://hdl.handle.net/10986/17815 |
| Summary: | Throughout the world, governments are
moving from being exclusively service delivery organizations
and toward improving their public health sector management
and stewardship capacity. To diversify service provision,
the Bangladesh Ministry of Health and Family Welfare (MOHFW)
is striving to develop its capability to become active
service purchasers in partnership with NGOs and private
(for-profit) providers. This report is divided into four
chapters. Chapter 1 is an overview of the current role of
NGOs in the Bangladesh health sector and maps the NGOs HNP
service provision. Chapter 2 reviews the lessons learnt from
the national NGO contracting experiences. Chapter 3
describes the performance of selected NGO contracting models
and draws lessons learnt using specific criteria related to
legal framework and governance aspects, bidding and
selection process, flexibility of contracts, supervision and
regular monitoring and evaluation, service quality, the
accessibility of the poor to services, user satisfaction,
and opinions of NGO facility personnel. The findings of the
comparative advantage analysis are shown for NGOs, public
and private providers at the upazila level in terms of
quality, cost, pricing and accessibility. The primary source
of information for this task consists of a sample of 50
facilities. This chapter also presents policy options for
public and private partnerships, specifically with regards
to what to do and how to do it to move forward on
strengthening the government's stewardship role and on
publicly financing the NGO and private sector to promote
diversification of HNP service provision. Finally, Chapter 4
presents the conclusions and recommendations. |
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