Performance-Based Contracting for Health Services in Developing Countries
A Toolkit
2008 The International Bank for Reconstruction and Development / The World Bank
Available online as PDF [226p.] at:
http://siteresources.worldbank.org/INTHSD/Resources/topics/415176-1216235459918/ContractingEbook.pdf
“….Performance-based contracting is a form of contracting that explicitly includes a clear defi nition of a series of objectives and indicators by which to measure contractor performance, collection of data on the performance indicators, and consequences for the contractor based on performance such as provision of rewards (such as performance bonuses or public recognition) or imposition of sanctions (such as termination of the contract or public criticism).
Many different types of health services have been contracted, including offering primary health care (PHC) services in rural or urban areas, providing HIV prevention services among high-risk groups, establishing health insurance systems, acting as an intermediary with many for-profit providers to strengthen the management of tuberculosis patients, managing hospitals, and operating diagnostic services within health facilities….”
Content:
1. Summary of the Toolkit
Background: What Is Performance-Based Contracting?
How to Contract
Whether to Contract
2. What Is Performance-Based Contracting?
Introduction
What Is Contracting?
What Is Performance-Based Contracting?
What Kinds of Health Services Can Be Contracted?
How Is Contracting Different from Other Approaches to Organizing Health Services?
What Approaches to Contracting Work Best in Common Situations?
How Is Contracting Related to Pay for Performance?
3. How to Contract
Step 1: Conduct Dialogue with Stakeholders
Step 2: Define the Services
Step 3: Design the Monitoring and Evaluation
Step 4: Decide How to Select Contractors and Establish the Price
Step 5: Arrange for Contract Management and Develop a Contract Plan
Step 6: Draft the Contract and Bidding Documents
Step 7: Carry Out the Bidding Process and Manage the Contract
4. Checklist for Contracting
5. Whether to Contract
The Evidence on Contracting / Methodology / Results / Discussion
Why Does Contracting Work?
What Are the Concerns about Contracting?
In What Context Will Contracting Work (or Not Work)?
Appendix A: Example of a Contracting Plan (or Manual) Strengthening Primary Health Care Services in Country X
Appendix B: World Bank Procurement Approach to Contracting for Health Services
Appendix C: Description of Evaluated Contracting Experiences
Appendix D: Terms of Reference for a Third-Party Evaluation of the Contracting Effort in Country X
Appendix E: Terms of Reference Examples
References /Index
* * *
This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues. [DD/ KMS Area]
“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
------------------------------------------------------------------------------------
PAHO/WHO Website
Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html
IMPORTANT: This transmission is for use by the intended recipient and it may contain privileged, proprietary or confidential information. If you are not the intended recipient or a person responsible for delivering this transmission to the intended recipient, you may not disclose, copy or distribute this transmission or take any action in reliance on it. If you received this transmission in error, please notify us immediately by email to infosec@paho.org, and please dispose of and delete this transmission. Thank you.
