NGO Contracting Evaluation for the HNP Sector in Bangladesh : Evidence and Policy Options
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World Bank, Washington, DC
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Throughout the world, governments are
moving from being exclusively service delivery organizations
and toward improving their public health sector management
and stewardship capacity. To diversify service provision,
the Bangladesh Ministry of Health and Family Welfare (MOHFW)
is striving to develop its capability to become active
service purchasers in partnership with NGOs and private
(for-profit) providers. This report is divided into four
chapters. Chapter 1 is an overview of the current role of
NGOs in the Bangladesh health sector and maps the NGOs HNP
service provision. Chapter 2 reviews the lessons learnt from
the national NGO contracting experiences. Chapter 3
describes the performance of selected NGO contracting models
and draws lessons learnt using specific criteria related to
legal framework and governance aspects, bidding and
selection process, flexibility of contracts, supervision and
regular monitoring and evaluation, service quality, the
accessibility of the poor to services, user satisfaction,
and opinions of NGO facility personnel. The findings of the
comparative advantage analysis are shown for NGOs, public
and private providers at the upazila level in terms of
quality, cost, pricing and accessibility. The primary source
of information for this task consists of a sample of 50
facilities. This chapter also presents policy options for
public and private partnerships, specifically with regards
to what to do and how to do it to move forward on
strengthening the government's stewardship role and on
publicly financing the NGO and private sector to promote
diversification of HNP service provision. Finally, Chapter 4
presents the conclusions and recommendations.
Palabras clave
ACCESS TO HEALTH CARE, ADMINISTRATIVE COSTS, ADULT HEALTH, ANTENATAL CARE, BURDEN OF DISEASE, C-SECTION, CHILD HEALTH, CITIZENS, COMPETITIVE BIDDING, COST-EFFECTIVENESS, CURATIVE HEALTH CARE, DELIVERY OF HEALTH SERVICES, DELIVERY SYSTEM, DISEASES, DOCTORS, DRUGS, EQUITY GOALS, ESSENTIAL SERVICES PACKAGE, EXPENDITURES, FAMILIES, FAMILY PLANNING, FAMILY WELFARE, GOVERNMENTS, HEALTH CARE, HEALTH CARE DELIVERY, HEALTH CARE PROVISION, HEALTH CARE SERVICES, HEALTH CENTERS, HEALTH ECONOMICS, HEALTH FACILITIES, HEALTH FINANCING, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICES, HEALTHCARE SERVICES, HEALTH EXPENDITURES, HEALTH INTERVENTIONS, HEALTH PLANNING, HEALTH PROGRAMS, HIV, HOSPITALS, HOUSEHOLD, HOUSEHOLD INCOME, HUMAN DEVELOPMENT, HUMAN IMMUNODEFICIENCY VIRUS, HYPERTENSION, ILLNESSES, IMMUNIZATION, IMMUNODEFICIENCY, IMPORTANCE OF POPULATION, INCIDENCE ANALYSIS, INCOME, INFORMATION SYSTEM, INJECTABLE DRUGS, INTERNATIONAL COOPERATION, LARGE NUMBER OF PEOPLE, LIMITED RESOURCES, MALARIA, MATERNAL CARE, MATERNAL HEALTH, MILLENNIUM DEVELOPMENT GOALS, MINISTRY OF HEALTH, NATIONAL HEALTH, NATIONAL PLAN, NURSING, NUTRITION, OUTPATIENT SERVICES, PARAMEDICS, PATIENT, PATIENTS, PLAN OF ACTION, POPULATION SECTOR, PRIMARY HEALTH CARE, PRIMARY HEALTH FACILITIES, PRIVATE SECTOR, PROVISION OF SERVICES, PUBLIC HEALTH, PUBLIC HEALTH SERVICES, PUBLIC PROVIDERS, PUBLIC SECTOR, PUBLIC SERVICE, QUALITY ASSURANCE, QUALITY CONTROL, QUALITY OF CARE, QUALITY OF HEALTH CARE, QUALITY SERVICES, RURAL AREAS, RURAL DEVELOPMENT, SERVICE DELIVERY, SERVICE PROVIDER, SERVICE PROVIDERS, SERVICE PROVISION, SERVICE QUALITY, SOCIAL DEVELOPMENT, TECHNICAL ASSISTANCE, TUBERCULOSIS, UNFPA, URBAN AREAS, USER FEES, VACCINES, WORKERS, WORLD, WORLD HEALTH ORGANIZATION