Performance-Based Contracting for Health Services in Developing Countries
2008 The International Bank for Reconstruction and Development / The World Bank
Available online as PDF [226p.] at:
“….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….”
1. Summary of the Toolkit
Background: What Is Performance-Based Contracting?
How to Contract
Whether to Contract
2. What Is Performance-Based Contracting?
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
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