Factors influencing performance by contracted non-state providers implementing a basic package of health services in Afghanistan.

ABSTRACT:

Background

In 2002 Afghanistan's Ministry of Public Health (MoPH) and its development partners initiated a new paradigm for the health sector by electing to Contract-Out (CO) the Basic Package of Health Services (BPHS) to non-state providers (NSPs). This model is generally regarded as successful, but literature is scarce that examines the motivations underlying implementation and factors influencing program success. This paper uses relevant theories and qualitative data to describe how and why contracting out delivery of primary health care services to NSPs has been effective. The main aim of this study was to assess the contextual, institutional, and contractual factors that influenced the performance of NSPs delivering the BPHS in Afghanistan.

Methods

The qualitative study

SUBMITTER: Salehi AS 

PROVIDER: S-EPMC6172740 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature