Contracting for the Delivery of Primary Health Care in Cambodia : Design and Inital Experience of Large Pilot Test
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...
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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/2014/01/20155616/contracting-delivery-primary-health-care-cambodia-design-inital-experience-large-pilot-test http://hdl.handle.net/10986/20097 |
| Summary: | 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). |
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