The role of contractual arrangements in improving health sector ...

Morocco
Annex 2
EVALUATION OF THE EXPERIENCE OF SUBCONTRACTING BY THE MANAGERS OF THE SEGMA HOSPITAL CENTRES
Public
hospital
centre (PHC)
Principal inputs Limits and constraints Suggestions
Ouarzazate Positive quality improvement of services provided by
PHC, reassignment of personnel
Inezgane Quality improvement of services, clients and personnel
satisfaction, providing additional technical material,
compensate the deficit in personnel, reassignment of
personnel, considered as creating jobs along the
hospital reform, Availability of services 6 days a week
Taroudant Satisfaction of personnel, respecting the deadline to
provide services, availability 24/24, steadiness of
agents in charge of subcontracted activities, recovering
and reassigning the personnel
Subcontracting constitutes an important burden on the
budget, supervision needs and selection of companies
taking into account hospital special status
Absence of reference norms, to control the quality of
the products in use, lack of qualified members of the
committee in charge of monitoring, execution, control
of products conformity, absence of clear procedures to
evaluate the services, lack of professionalism of the
companies in hospital lodging, instability of their
underpaid personnel
Laundry does not figure among the services considered
for a bid, lack of professionalism of some companies,
hiring personnel less qualified and underpaid, which
could harm a loyal competitiveness
Tiznit Improvement of lodging conditions in hospital Delay in budget allocation leads to a delay in the
approval of bids, payment for provided services
depends on the date of the approval
El Kalaa Quality improvement and reassignment of personnel Profits not very important, subsidies deficient,
subcontracting remains limited to some provided
services
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Maintain the subcontracting activities
Implication of managers in the control
of services delivery, availability of
qualified structures of control, and of
the evaluation norms and means,
elaboration management manual for
subcontracted activities, requirement
of the payment statement, elaborate
legislation requiring a minimum of
professionalism in subcontracting,
extend subcontracting to other
administrative activities
Recommend laundry services to be
subcontracted through a bid, involve
labor inspection to control
subcontracted companies around the
health structures
Extend the application to other fields:
radiology and laboratory