Contracting out health services in fragile states

Contracting out Health Services in Fragile States: Challenges and lessons learned

Governments engage with the private sector in several ways, one of which is through contractual agreements to provide services to the population on the governments’ behalf (the process of ‘contracting out’). The importance, feasibility and effectiveness of this contracting process in the health sector is disputed, particularly in states where the government is unable to adequately deliver funda...

Contracting-out health care services: a conceptual framework.

Contracting-out has become increasingly prominent in the health-care sector. It has been used in activities ranging from 'internal market' arrangements in which providers compete for funding from government payers to purchases of medical and non-medical inputs by service providers. While contracting-out arrangements for non-medical services have been widely adopted with apparent success, the co...

Contracting Out Non-State Providers to Provide Primary Healthcare Services in Tanzania: Perceptions of Stakeholders

Background In the attempt to move towards universal health coverage (UHC), many low- and middle-income countries (LMICs) are actively seeking to contract-out non-state providers (NSPs) to deliver health services to a specified population. Research on contracting-out has focused more on the impact of contracting-out than on the actual processes underlying the intervention and contextual factors ...

Prison health care: is contracting out healthy?

US prison health care has recently been in the news and in the courts. A particular issue is whether prisons should contract out for health care. Contracting out has been growing over the past few decades. The stated motivation for this change ranges from a desire to improve the prison healthcare system, sometimes in response to a court mandate, to a desire to reduce costs. This study is a firs...

Contracting - out employment services : temporary agency work in Germany