Contracting and Providing Basic Health Care Services in Honduras : A Comparison of Traditional and Alternative Service Delivery Models

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dc.creatorGarcia Prado, Ariadna
dc.creatorLao Peña, Christine
dc.date2013-05-29T13:50:52Z
dc.date2013-05-29T13:50:52Z
dc.date2010-06
dc.date.accessioned2026-07-01T01:18:37Z
dc.descriptionThis study uses data from health facility and patient exit surveys carried out in 2006 in Honduras to examine the characteristics of two basic health care provision models: a traditional Ministry of Health (MOH) public health care one versus a community based one also known as 'alternative' or 'public-social'. The author compare these models based on access, quality, costs, productivity, and management autonomy. While the alternative model has higher unit costs for drugs, it also has higher labor productivity. The fact that alternative providers are held accountable through performance-based contracts and that their personnel are hired on a contractual basis and can be demoted or even fired may account for their stronger performance relative to traditional providers whose personnel are centrally hired civil service staff. The findings support the alternative model as a viable option to expand services to other areas of Honduras that lack health services, compensating for the MOH's insufficient capacity to deliver and manage health care services in poor and remote areas. Some elements of this model such as performance-based agreements and other incentives can be also incorporated in the management and implementation of the traditional MOH health units in order to improve their performance. As the alternative models increase in number, it will be important to continue to evaluate their performance and to also analyze whether facility performance differs based on type of management (for example, whether the facility is managed by a municipality or an association of municipalities, a non-government organization, or community based organization).
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2010/06/12605593/contracting-providing-basic-health-care-services-honduras-comparison-traditional-alternative-service-delivery-models
dc.identifierhttps://hdl.handle.net/10986/13609
dc.identifierhttps://doi.org/10.1596/13609
dc.identifier.urihttp://hdl.handle.net/123456789/416931
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationHealth, Nutrition and Population (HNP) discussion paper;
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectABILITY TO PAY
dc.subjectACCESS TO CARE
dc.subjectACCESS TO HEALTH CARE
dc.subjectAID
dc.subjectALTERNATIVE HEALTH CARE
dc.subjectAUXILIARY NURSES
dc.subjectBASIC HEALTH CARE
dc.subjectBASIC HEALTH SERVICES
dc.subjectCHILDBIRTH
dc.subjectCLEANLINESS
dc.subjectCOMMUNITIES
dc.subjectCOMMUNITY HEALTH
dc.subjectCOMMUNITY HEALTH CARE
dc.subjectCOMMUNITY HEALTH SERVICES
dc.subjectCOMMUNITY INVOLVEMENT
dc.subjectCOMMUNITY PARTICIPATION
dc.subjectCOMMUNITY WORK
dc.subjectDECISION MAKING
dc.subjectDENTIST
dc.subjectDIAGNOSIS
dc.subjectDISCRETIONARY AUTHORITY
dc.subjectDISEASES
dc.subjectDOCTOR
dc.subjectDOCTORS
dc.subjectEMERGENCY CARE
dc.subjectESSENTIAL DRUGS
dc.subjectEXPENDITURES
dc.subjectEXPOSURE
dc.subjectFAMILY PLANNING
dc.subjectFEMALE
dc.subjectHEALTH ADMINISTRATION
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE FACILITIES
dc.subjectHEALTH CARE FACILITY
dc.subjectHEALTH CARE INSURANCE
dc.subjectHEALTH CARE PERSONNEL
dc.subjectHEALTH CARE PROFESSIONALS
dc.subjectHEALTH CARE PROVIDER
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CARE PROVISION
dc.subjectHEALTH CARE SERVICES
dc.subjectHEALTH CENTERS
dc.subjectHEALTH COVERAGE
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH EXTENSION
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH PLANS
dc.subjectHEALTH POLICY
dc.subjectHEALTH REFORMS
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectHEALTH SERVICES
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHOSPITALS
dc.subjectHOUSEHOLDS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCES
dc.subjectILLNESS
dc.subjectIMMUNIZATION
dc.subjectINCOME
dc.subjectINHABITANTS
dc.subjectINTEGRATION
dc.subjectINTERNATIONAL ORGANIZATIONS
dc.subjectLEGAL FRAMEWORK
dc.subjectMEDICAL EQUIPMENT
dc.subjectMEDICINE
dc.subjectMEDICINES
dc.subjectMIDWIVES
dc.subjectNURSE
dc.subjectNURSES
dc.subjectNUTRITION
dc.subjectOUTPATIENT SERVICES
dc.subjectPATIENT
dc.subjectPATIENT SATISFACTION
dc.subjectPATIENTS
dc.subjectPERSONALITY
dc.subjectPHARMACY
dc.subjectPHYSICIAN
dc.subjectPHYSICIANS
dc.subjectPREGNANT WOMEN
dc.subjectPRIMARY CARE
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIMARY HEALTH CARE SERVICES
dc.subjectPROBABILITY
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH CARE
dc.subjectPUBLIC HEALTH CARE CENTERS
dc.subjectQUALITY OF CARE
dc.subjectRABIES
dc.subjectREFERRALS
dc.subjectREPRODUCTIVE HEALTH
dc.subjectRURAL AREAS
dc.subjectSOCIAL SCIENCE
dc.subjectSPECIALIST
dc.subjectTRADITIONAL HEALTH CARE
dc.subjectURBAN DWELLERS
dc.subjectVISITS
dc.subjectWORKERS
dc.subjectWORKING CONDITIONS
dc.titleContracting and Providing Basic Health Care Services in Honduras : A Comparison of Traditional and Alternative Service Delivery Models

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