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

Pakistan
Question Discussion points Source
mechanisms to recourse in the
event of a dispute between the
two contracting partners?
What are the capabilities of
the purchaser (Ministry of
Health) in order to
successfully enter into a
contract in terms of: (i)
competitive bidding;
(ii)awarding contracts; (iii)
monitoring and supervision;
(iv) regulation; (v) payment
mechanisms; (vi)performance
evaluation; (vii) other
aspects?
What are the capabilities and
experiences of the providers
(private sector organizations)
in terms of: (i) developing a
proposal; (ii) technical
capacity to implement; (iii)
financial management
capacity in order to fulfil the
terms of the contracts?
What are the strengths and
weaknesses of the purchaser
(public sector) that should be
taken into consideration when
entering into a contractual
agreement?
What are the strengths and
weaknesses of the provider
(nongovernmental
organizations/private sector)
that should be taken into
consideration when entering
into a contractual agreement?
What risks and incentives
does each party incur when
How defined, agreed Planners and managers/
Experts in the field
Federal Law and Justice Dept.
Provincial Regulation Dept.
Capabilities of the purchaser in terms of trained
human resource for project
preparation/analysis/costing and performance of
following activities:
(i) competitive bidding; Development of bidding
documents
(ii)awarding contracts; project proposal assessment
in terms of service-cost-quality comparability and
negotiations
(iii) monitoring and supervision; resources, logistics
and Information systems
(iv) regulation; guidelines, procedures
(v) payment mechanisms; disbursement procedures,
accounting and auditing systems and promptness and
flexibilities.
(vi) performance evaluation; methods and
procedures, quality assurance system development
(viii) other aspects?
Capabilities and experiences of the providers
(i) developing a proposal;
(ii) technical capacity
Organizational structure and human resources,
Operational systems, culture to adjust to public
sector norms
Strategic purchasing plan
Annual business plan
Linking plans to budgeting
Performance evaluation
Specifications
(iii) financial management
Strengths and weaknesses of the purchaser in terms of;
Managerial
Organizational/structural
Human
Material
Financial /transaction costs
Functional/service sharing
Credibility
Level of purchaser autonomy
Provider competition
Incentive
Strengths and weaknesses of the provider in terms of;
Managerial
Organizational/Structural
Human
Material
Financial
Functional/service provision
Credibility and acceptance
Timely payments/releases
Bureaucratic Attitudes
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Federal and provincial
Planners and managers/
Experts in the field
Federal and provincial
Planners and managers/
Experts in the field
Providers of Services
Federal and provincial
Planners and managers/
Experts in the field
Federal and provincial
Planners and managers/
Experts in the field
Providers
Federal and provincial
Planners and managers/