Central Data Catalog

Citation Information

Type Conference Paper - Commissioned Paper for the International Conference on Scaling Up
Title Improving maternal health by scaling up contractual management of basic Health units in Sindh Province, Pakistan: A health systems approach
Publication (Day/Month/Year) 2008
City Dhaka
Country/State Bangladesh
URL http://siteresources.worldbank.org/EDUCATION/Resources/278200-1126210664195/1636971-1238439091031/PP​HI_Pakistan-Health.pdf
In an effort to improve delivery of basic health services, the government of Pakistan has contracted in management of lower level health facilities with a group of government managers in a unique model that seconds the managers to an NGO to give them more authority to make decisions. The increased accountability created by a need to prove themselves, and flexibility to make management decisions including hiring and transfers, has enabled the new managers to improve availability of medicines and supplies, hire doctors on contract, and improve provider performance through increased monitoring. The changes have dramatically increased utilization of services at facilities.

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