Management for health services delivery

Partnerships management: Working with the private sector


  • WHO News, Contracting and Health
    David Evans, 2006, WHO, Bulletin of the World Health Organization, November 2006, 84 (11)
    Huge untapped potential of contracting in public health, but also potential risks and pitfalls. If poorly implemented, contracting may harm health systems performance, but if managed well, the benefits can be immense. (2 pages, pdf 96kb)
  • Different Approaches to Contracting in Health Systems
    Jean Perrot, 2006, WHO, Bulletin of the World Health Organization, November 2006, 84 (11)
    Types of contractual relations:based on the nature of the contract (public or private), the parties involved and the scope of the contract. Classified as: delegation of responsibility, purchase of services, or cooperation.
    (8 pages, pdf 324kb)
  • The Benefits Of Setting The Ground Rules And Regulating Contracting Practices
    Abatcha Kadaï, Farba Lamine Sall, Guy Andriantsara & Jean Perrot, 2006, WHO, Bulletin of the World Health Organization, November 2006, 84 (11)
    Role of the state; integration of contracting into health policy; framework agreements; requirements for success: national policy, regulatory tools, incentives, mutual understanding, evaluation
    (6 pages, pdf 254kb)
  • Hard Gains Through Soft Contracts: Productive Engagement of Private Providers in TB Control
    Knut Lönnroth, Mukund Uplekar & Léopold Blanc, 2006, WHO, Bulletin of the World Health Organization, November 2006, 84 (11)
    For-profit providers can be effectively involved in TB control through informal, but well defined drugs-for-performance contracts. The contracting party should be able to reach a common understanding concerning goals and role division with for-profit providers and monitor them for content and quality.
    (8 pages, pdf 151kb)
  • Contracting for Primary Health Services; Evidence, Effects and Evaluation
    pdf, 411kb

    Xingzhu Liu, D. R. Hotchkiss, S. Bose, R. Bitran and U. Giedion, 2004, Partners for Health Reform
    Types of contracting; rationales and advantages; potential pitfalls; access, equity, qulaity and efficiency; contract formality and duration; performance requirements; payment mechanisms; input, output and outcome management; preformance monitoring
    (70 pages)
  • Contracting and Performance Management in the Health Sector: Some Pointers on How to Do It
    Roger England, 2000, UK Department for International Development
    Contracting as a process; importance of the purchasing function; potential problems; contract contents; model contract; contracting services from the private sector
    (47 pages, pdf 156kb)
  • Experience of Contracting with the Private Sector
    Roger England, 2004, UK Department for International Development
    Sustainability; identifying and reaching the poor; institutional capacity; payment methods; experiences in 12 countries; summary of lessons learned
    (55 pages, pdf 226kb)
  • The Role of Contracting in Improving Health Systems Performance
    Jean Perrot, 2004, WHO/EIP/FER/DP.E.04.1
    Contractual arrangements, types of agreements, roles, regulations, examples
    (65 pages, pdf 892kb)
    En français: Le role de la contractualisation
  • Contractual arrangements in health systems
    WHO website
    Has sections on: key policy issues, training, country experiences

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