The Haiti Health Systems 2004 (HS2004) Project, funded by USAID and begun in 1995, is designed to help strengthen the health delivery system in Haiti through a network of service delivery institutions. The project's main goal is to provide the population with access to high quality services in the areas of child survival (immunization, care of the sick child, and nutrition) and reproductive health (family planning, pre- and post-natal care, STD and HIV prevention). In an effort to improve NGO efficiency and sustainability, HS2004 began a pilot study in 1999. Based on their service delivery records and their target populations, three NGOs were selected to shift from an "input-based" financing mechanism to one that is output-based, reimbursing NGOs not for their costs or inputs but rather for the impact that they produce in improved health service delivery and coverage. This paper describes the design phase of the performance-based contracting model, the challenges encountered in its implementation, and, after one year, some very positive preliminary results. It will also talk about lessons learned, next steps and applicability to other contexts.
Learning Objectives: At the conclusion of the session, participants will be able to define performance based contracting and identify its advantages in terms of efficiency and long term sustainability for both the contractors and the recipient agencies
Keywords: International Health, Quality Improvement
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Management Sciences for Health
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: I am employed by MSH