Provider Purchasing and Contracting for Health Services_The Case

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Appendix 2: Changes in Key Indicators at the Hospital Level Level/Cost Item Output Performance 2005 Output Performance 2007 Target Actual Target Actual Pediatrics Department Number of nurses 7 8 Number of doctors 1 1 Average length of stay 7 7 Bed occupancy rate 60% 61% Cost per meal Surgery Department Number of nurses 17 17 Number of doctors 2 2 Average length of stay 10 10 Bed occupancy rate 51% 56% Cost per meal Obstetrics/Gynecology Department Number of nurses 10 8 Number of doctors 1 1 Average length of stay 6 4 Bed occupancy rate 51% 47% Cost per meal 66
Appendix 3: Hospitals by Type, Ownership, and Location Province Facility Type Private Hospitals Public Hospitals Mission Hospitals First-level hospital Nangoma Mission Hospital Central Province Copperbelt Province Eastern Province Luapula Province Second-level hospital First-level hospital Second-level hospital Third-level hospital First-level hospital Second-level hospital First-level hospital Sinozam Friendship Hospital Luanshya Hospital Konkola Mine Hospital Nchanga South Hospital Kalulushi Mine Hospital Melcom Watson Hospital Wusakile Mine Hospital 67 Liteta Hospital Kapiri Mposhi Hospital Mkushi Hospital Mumbwa Hospital Serenje Hospital Chitambo Hospital Kabwe Mine Hospital Kabwe General Hospital Thomson Hospital Kamuchanga District Hospital Nchanga North General Hospital Roan Antelope Hospital Ronal Ross General Hospital Arthur Davison Hospital Kitwe Central Hospital Ndola Central Hospital Chama Hospital Lundazi District Hospital Nyimba Hospital Petauke District Hospital Chipata General Hospital Kawambwa District Hospital Mpongwe Mission Hospital St. Theresa Mission Hospital Mwami Mission Hospital Kamoto Mission Hospital Miinga Mission Hospital Nyanje Mission Hospital St. Francis Hospital Mbereshi Mission Hospital St. Paul’s Hospital Kasaba Mission Hospital Lubwe
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The Rockefeller Foundation-Sponsore
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Contents 1. Introduction...........
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Executive Summary Objective and rat
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1. Introduction Reforms in the heal
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principles laid down in the Nationa
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In the first phase, the study mainl
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where funders of care tend to aband
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Following independence in 1964, the
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• Budgetary reform whereby Distri
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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 and 68: References Ashton, T. 1998. Contrac
Page 69 and 70: Walsh K., 1995 Public Services and
Page 71: General Hospital - Second-level ref
Page 75: Southern Province Western Province
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Provider Purchasing and Contracting for Health Services_The Case

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