Democracy in America by Alexis de Tocqueville; J P Mayer

By Alexis de Tocqueville; J P Mayer

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CONTRACTING OUT HEALTH SERVICES IN POST-CONFLICT AND FRAGILE SITUATIONS  Contracting out to the non-government sector can instil greater confidence in the state in postconflict environments. By rapidly increasing access to priority services for the underserved in a transparent and participatory manner, people who have lived through years of conflict, turmoil and corruption can begin to regain trust in the state. Even though there may be concerns about the high transaction costs of contracting; government’s capacity to draft, manage, and monitor the contracts; and its expense compared to the direct public provision of services, contracting can be an effective tool to expand access rapidly to basic health services in fragile states.

11. The pilot contracting project did create incentives to focus on the targeted indicators and helped to curtail dual employment among the CO and CI staff. 12. Generally, performance measures that reflect the functioning of a health system would include immunisation rates, numbers of trained birth attendants, number of properly treated cases of malaria, etc. CONTRACTING OUT GOVERNMENT FUNCTIONS AND SERVICES – © OECD 2009 43 , II. JUSTICE AND SECURITY AS PUBLIC AND PRIVATE GOODS AND SERVICES Chapter 2.

3. Ibid. 4. Baseline 2002: 5ODs – Target 2005: 11ODs – Target 2008: continue in 11ODs, review and examine results for contracting strategy). First Health Sector Strategy Plan 2003-8. 5. 3,700 households were visited both for the baseline survey in 1997 and the evaluation survey in 2003. A separate health facility survey of 140 facilities was conducted in 2003. 6. Although Spanish is Guatemala’s official language, 25 different languages are spoken throughout the country. 7. gt 8. The “standardised incentives” are a package of incentives that the MoHSW’s newly created office of Human Resources is putting together to ensure parity in compensation and pay.

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