The public sector in developing countries is increasingly contracting with the non-state sector to improve access, efficiency and quality of health services. We conducted a multicountry study to assess the range of health services contracted out, the process of contracting and its influencing factors in ten countries of the Eastern Mediterranean Region: Afghanistan, Bahrain, Egypt, Islamic Republic of Iran, Jordan, Lebanon, Morocco, Pakistan, the Syrian Arab Republic and Tunisia. Our results showed that Afghanistan, Egypt, Islamic Republic of Iran and Pakistan had experience with outsourcing of primary care services; Jordan, Lebanon and Tunisia extensively contracted out hospital and ambulatory care services; while Bahrain, Morocco and the Syrian Arab Republic outsourced mainly non-clinical services. The interest of the non-state sector in contracting was to secure a regular source of revenue and gain enhanced recognition and credibility. While most countries promoted contracting with the private sector, the legal and bureaucratic support in countries varied with the duration of experience with contracting. The inherent risks evident in the contracting process were reliance on donor funds, limited number of providers in rural areas, parties with vested interests gaining control over the contracting process, as well as poor monitoring and evaluation mechanisms. Contracting provides the opportunity to have greater control over private providers in countries with poor regulatory capacity, and if used judiciously can improve health system performance.
Punjab government should outsource services like Laundry, janitorial services/cleaning, pharmacy and security services of hospitals in the initial phase. The government can get benefit of system prevalent in Indus hospital and SIUT Karachi as well as Shaukat Khanum cancer hospital. KPK govt should also make its policies clear on this issue as PTI will follow in KPK what Shahbaz Sharif is doing in Punjab
Shah Mehmood Qureshi and other politicians are against out-sourcing of health services because the people whom they will get jobs in MIKD will have to work and perform their duties. Otherwise patients will get better treatment in MIKD under Indus group free of cost and with dignity. Just visit Indus hospital in Karachi sand compare its services with Aga Khan hospital.
ملتان کے مقامی رہنما جنوبی پنجاب کے تمام صحت اور تعلیمی اداروں کو سیاسی رنگ کرنا چاہتے. ہیںاپنے من پسند ملتان گردوں کے مرکز پر قبضہ اور ان کی سیاست کے لئے استعمال کریں گے
The public sector in developing countries is increasingly contracting with the non-state sector to improve access, efficiency
ReplyDeleteand quality of health services. We conducted a multicountry study to assess the range of health services contracted out, the process
of contracting and its influencing factors in ten countries of the Eastern Mediterranean Region: Afghanistan, Bahrain, Egypt, Islamic
Republic of Iran, Jordan, Lebanon, Morocco, Pakistan, the Syrian Arab Republic and Tunisia. Our results showed that Afghanistan,
Egypt, Islamic Republic of Iran and Pakistan had experience with outsourcing of primary care services; Jordan, Lebanon and Tunisia
extensively contracted out hospital and ambulatory care services; while Bahrain, Morocco and the Syrian Arab Republic outsourced
mainly non-clinical services. The interest of the non-state sector in contracting was to secure a regular source of revenue and gain
enhanced recognition and credibility. While most countries promoted contracting with the private sector, the legal and bureaucratic
support in countries varied with the duration of experience with contracting. The inherent risks evident in the contracting process were
reliance on donor funds, limited number of providers in rural areas, parties with vested interests gaining control over the contracting
process, as well as poor monitoring and evaluation mechanisms. Contracting provides the opportunity to have greater control over
private providers in countries with poor regulatory capacity, and if used judiciously can improve health system performance.
Punjab government should outsource services like Laundry, janitorial services/cleaning, pharmacy and security services of hospitals in the initial phase.
ReplyDeleteThe government can get benefit of system prevalent in Indus hospital and SIUT Karachi as well as Shaukat Khanum cancer hospital.
KPK govt should also make its policies clear on this issue as PTI will follow in KPK what Shahbaz Sharif is doing in Punjab
Shah Mehmood Qureshi and other politicians are against out-sourcing of health services because the people whom they will get jobs in MIKD will have to work and perform their duties. Otherwise patients will get better treatment in MIKD under Indus group free of cost and with dignity. Just visit Indus hospital in Karachi sand compare its services with Aga Khan hospital.
ReplyDeleteملتان کے مقامی رہنما جنوبی پنجاب کے تمام صحت اور تعلیمی اداروں کو سیاسی رنگ کرنا چاہتے. ہیںاپنے من پسند ملتان گردوں کے مرکز پر قبضہ اور ان کی سیاست کے لئے استعمال کریں گے
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