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A Free Toolkit: Performance-Based Contracting for Health Services in Developing Countries

This toolkit provides practical advice to anyone involved in, or who is interested in becoming involved in, performance-based contracting of health services with nonstate providers in the context of developing countries. It addresses many of the issues that may be encountered. Input from experienced contracting professionals will give newcomers increased confidence as they go forward. Experts directly involved in contracting on a large scale have contributed to the development of this toolkit.


What Is This Toolkit About?

Performance-based contracting is a type of contracting with a clear set of objectives and indicators, systematic efforts to collect data on the selected indicators to judge contractor performance, and consequences for the contractor, either rewards or sanctions, based on performance. Intended Audience. This toolkit has been developed for individuals working for government agencies, other purchasing entities (such as insurance companies and social insurance funds), nongovernmental organizations, faith-based organizations, private (for-profit) health care providers, World Bank staff, and development partners.

Where to Start.

The short summary gives an overview of the toolkit. Readers can then delve into increasing levels of detail by working through the various sections and appendixes.

Limitations of the Toolkit. The actual task of contracting is more of an art than a science. Although a reasonable amount of evidence suggests that contracting works (see section 5), many of the “how-to” issues are a matter of experience rather than systematic evidence. As we learn more about contracting, some of what we believe now may change. Keep in mind that contracting occurs in different contexts. Some issues raised in the toolkit are not relevant in certain situations but may be crucial in others.

Outline of the Toolkit

You can download this toolkit for free here.

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