Provider Purchasing and Contracting for Health Services_The Case

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Mills A. 1995 improving the efficiency of public health services in developing countries; Bureaucratic vs. Market approaches, Departmental publications No 17, London School of hygiene and Tropical Medicine Ministry of Finance and National Planning, 2005., Economic Report for 2004 , Government of the Republic of ZambiaMoH (Ministry of Health). 1991. National health policies and strategies (health reforms). Government of the Republic of Zambia, Lusaka, Zambia. ———. 1998. ———. 2000. ________ and CBoH, 2002,Health Planning Guide,, Infrastructure Unit, Government of The Republic of Zambia———. 2004. Institutional and capacity appraisal. Government of the Republic of Zambia, Lusaka, Zambia. __________2008, Health institutions in Zambia: A listing of health facilities according to levels and location for 2008, Government of the Republic of Zambia ———. 2006. National health strategic plan 2006–2010: Towards attainment of the Millennium Development Goals and National Health Priorities… Government of the Republic of Zambia, Lusaka, Zambia. CHAZ 2005, Health Strategic Plan 2006 - 2010: CHAZ, Lusaka Mwansa L., F. Masiye, A. Anders, K., Odegaard 2002 Health Care Finance: Paying the Providers, A discussion of Potential Option for Zambia, SKF AB, Sweden Lund Nakamba P., C. Hongoro, B., McPake, B. Chirwa and B. B. Sund 2002: the Case of Zambia in eds. Par Ericksson, V. Diwan and I. Karlbeg 2002 Health sector reform what about Hospitals. The Nordic School of Public Health, Goteborg, Sweden Ndonyo Likwa, R. 2005. Zambia: Assessing the quality and responsiveness of health services for women in crises settings. In Zambia case study report. Palmer, N., L. Strong, A. Wali, and E. Sondorp. 2006. Contracting out health services in fragile states. British Medical Journal Vol. 332. Saltman RB 1995 Applying planned Market logic to developing countires health systems: An initial exploration. WHO/SHS/SHP/95.7, WHO, Geneva Saltman, R.B., and C. von Otter. 1992. Planned markets and public competition: Strategic reform in Northern European systems. Open University Press. Wake, W., D. Mudenda, Sundewall J, Mphuka C. M Maimbolwa, W, Jonsson D, Forsberg B C . 2008,. Private Health Care in Zambia: Findings from provider and Client Surveys in two districts, Unpublished Report 62
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Page 1 and 2:
The Rockefeller Foundation-Sponsore
Page 3 and 4:
Contents 1. Introduction...........
Page 5 and 6:
Executive Summary Objective and rat
Page 7 and 8:
1. Introduction Reforms in the heal
Page 9 and 10:
principles laid down in the Nationa
Page 11 and 12:
In the first phase, the study mainl
Page 13 and 14:
where funders of care tend to aband
Page 15 and 16:
Following independence in 1964, the
Page 17 and 18: • Budgetary reform whereby Distri
Page 19 and 20: statements and operational issues i
Page 21 and 22: Year Key Events/Reforms • Nationa
Page 23 and 24: Ministry of Health is in a stronger
Page 25 and 26: Unlike the pre-reform structure, th
Page 27 and 28: Figure 2: Distribution of health fa
Page 29 and 30: Table 5: Summary of health institut
Page 31 and 32: Table 7: Distribution of beds by pr
Page 33 and 34: ecause there is no direct platform
Page 35 and 36: Figure 3: Distribution of mission h
Page 37 and 38: The memorandum of understanding giv
Page 39 and 40: ased organization; HMBs = Hospital
Page 41 and 42: The Ministry of Health contracted w
Page 43 and 44: Paying the providers Health care pr
Page 45 and 46: clearly specified the obligations o
Page 47 and 48: are drawn. MSL is supposed to suppl
Page 49 and 50: eimbursement process does not diffe
Page 51 and 52: services. Often, private facilities
Page 53 and 54: intermediary for the District Healt
Page 55 and 56: Table 10: Expenditure performance o
Page 57 and 58: Table 11: Contracting revenue for m
Page 59 and 60: managers observed that most of the
Page 61 and 62: ecommended drug, artemether-lumefan
Page 63 and 64: Favorable tax incentives are being
Page 65 and 66: Zambia’s health delivery system t
Page 67: References Ashton, T. 1998. Contrac
Page 71 and 72: General Hospital - Second-level ref
Page 73 and 74: Appendix 3: Hospitals by Type, Owne
Page 75: Southern Province Western Province
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Provider Purchasing and Contracting for Health Services_The Case

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