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 |
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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 |
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okr-10986-200972021-04-23T14:03:54Z Contracting for the Delivery of Primary Health Care in Cambodia : Design and Inital Experience of Large Pilot Test Loevinsohn, Benjamin ANTENATAL CARE BULLETIN COMPETITIVE BIDDING DECISION MAKING DEVELOPING COUNTRIES DISTRICTS EMERGENCY OBSTETRICAL CARE ESSENTIAL DRUGS FAMILY PLANNING FINANCIAL RISKS HEALTH CENTERS HEALTH FACILITIES HEALTH INFRASTRUCTURE HEALTH MANAGEMENT HEALTH ORGANIZATION HEALTH POLICY HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SPECIALIST HEALTH WORKERS HOSPITAL HOSPITALS HOUSEHOLD SURVEYS HOUSEHOLDS HOUSING ILLNESSES IMMUNIZATION INCOME INCOME COUNTRIES INFORMATION SYSTEM LOW INCOME METHODS OF FAMILY PLANNING MINISTRY OF HEALTH NON-GOVERNMENTAL ORGANIZATIONS OBSTETRICAL CARE PLAN OF ACTION POLITICAL INSTABILITY PRENATAL CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROGRESS PROVISION OF SERVICES PUBLIC HEALTH PUBLIC PROVISION PUBLIC SECTOR QUALITY OF CARE REHABILITATION RURAL AREAS SERVICE PROVISION SURGERY TUBERCULOSIS WAR WORKERS WORLD HEALTH ORGANIZATION 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). 2014-09-12T20:35:20Z 2014-09-12T20:35:20Z 2014 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 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research East Asia and Pacific Cambodia |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ANTENATAL CARE BULLETIN COMPETITIVE BIDDING DECISION MAKING DEVELOPING COUNTRIES DISTRICTS EMERGENCY OBSTETRICAL CARE ESSENTIAL DRUGS FAMILY PLANNING FINANCIAL RISKS HEALTH CENTERS HEALTH FACILITIES HEALTH INFRASTRUCTURE HEALTH MANAGEMENT HEALTH ORGANIZATION HEALTH POLICY HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SPECIALIST HEALTH WORKERS HOSPITAL HOSPITALS HOUSEHOLD SURVEYS HOUSEHOLDS HOUSING ILLNESSES IMMUNIZATION INCOME INCOME COUNTRIES INFORMATION SYSTEM LOW INCOME METHODS OF FAMILY PLANNING MINISTRY OF HEALTH NON-GOVERNMENTAL ORGANIZATIONS OBSTETRICAL CARE PLAN OF ACTION POLITICAL INSTABILITY PRENATAL CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROGRESS PROVISION OF SERVICES PUBLIC HEALTH PUBLIC PROVISION PUBLIC SECTOR QUALITY OF CARE REHABILITATION RURAL AREAS SERVICE PROVISION SURGERY TUBERCULOSIS WAR WORKERS WORLD HEALTH ORGANIZATION |
| spellingShingle |
ANTENATAL CARE BULLETIN COMPETITIVE BIDDING DECISION MAKING DEVELOPING COUNTRIES DISTRICTS EMERGENCY OBSTETRICAL CARE ESSENTIAL DRUGS FAMILY PLANNING FINANCIAL RISKS HEALTH CENTERS HEALTH FACILITIES HEALTH INFRASTRUCTURE HEALTH MANAGEMENT HEALTH ORGANIZATION HEALTH POLICY HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SPECIALIST HEALTH WORKERS HOSPITAL HOSPITALS HOUSEHOLD SURVEYS HOUSEHOLDS HOUSING ILLNESSES IMMUNIZATION INCOME INCOME COUNTRIES INFORMATION SYSTEM LOW INCOME METHODS OF FAMILY PLANNING MINISTRY OF HEALTH NON-GOVERNMENTAL ORGANIZATIONS OBSTETRICAL CARE PLAN OF ACTION POLITICAL INSTABILITY PRENATAL CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROGRESS PROVISION OF SERVICES PUBLIC HEALTH PUBLIC PROVISION PUBLIC SECTOR QUALITY OF CARE REHABILITATION RURAL AREAS SERVICE PROVISION SURGERY TUBERCULOSIS WAR WORKERS WORLD HEALTH ORGANIZATION Loevinsohn, Benjamin Contracting for the Delivery of Primary Health Care in Cambodia : Design and Inital Experience of Large Pilot Test |
| geographic_facet |
East Asia and Pacific Cambodia |
| description |
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). |
| format |
Publications & Research :: Working Paper |
| author |
Loevinsohn, Benjamin |
| author_facet |
Loevinsohn, Benjamin |
| author_sort |
Loevinsohn, Benjamin |
| title |
Contracting for the Delivery of Primary Health Care in Cambodia : Design and Inital Experience of Large Pilot Test |
| title_short |
Contracting for the Delivery of Primary Health Care in Cambodia : Design and Inital Experience of Large Pilot Test |
| title_full |
Contracting for the Delivery of Primary Health Care in Cambodia : Design and Inital Experience of Large Pilot Test |
| title_fullStr |
Contracting for the Delivery of Primary Health Care in Cambodia : Design and Inital Experience of Large Pilot Test |
| title_full_unstemmed |
Contracting for the Delivery of Primary Health Care in Cambodia : Design and Inital Experience of Large Pilot Test |
| title_sort |
contracting for the delivery of primary health care in cambodia : design and inital experience of large pilot test |
| publisher |
World Bank, Washington, DC |
| publishDate |
2014 |
| url |
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 |
| _version_ |
1764444756495040512 |