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Regulating private primary care for more sustainable, equitable and efficient health care provision: is contracting-out the solution for central america

Objective

Most of Central American health systems are fragmented. There are various sectors, including often-unregulated private healthcare, providing first line health services with different access, quality and range of activities. This leads to problems of equity and efficiency. Contracting out is fashionable in Central America to improve State regulation of private providers. This concerted action will build an analytical framework of local experiences of contracting private first line health services by public actors. One of its main feature, will be to describe the effects of contracting on sustainability, equity and efficiency in the provision of services on the base of the perception of target population, in addition to those of public purchaser, and private providers. The final aim of this framework is to strengthen the state by giving better capacity of policies adaptations to regulate private providers.

Funding Scheme

CON - Coordination of research actions
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Coordinator

UNIVERSITE LIBRE DE BRUXELLES
Address
Route De Lennik 808
1070 Bruxelles
Belgium

Participants (6)

PARROQUIA SANTIAGO JOCOTAN
Guatemala
Address
Barrio San Sebastian
20004 Chiquimula - Jocotan
STICHTING KATHOLIEKE UNIVERSITEIT
Netherlands
Address
10,Geert Grooteplein 10
6500 HB Nijmegen
UNIVERSIDAD DE COSTA RICA
Costa Rica
Address
Ciudad Universitaria "Rodrigo Facio"
2060 San Pedro
UNIVERSIDAD DE EL SALVADOR
El Salvador
Address
Final 25 Avenida Norte Y Boulevard De Los Heroes,
San Salvador
UNIVERSIDAD NACIONAL AUTONOMA DE NICARAGUA
Nicaragua
Address
Recinto Universitario "Ruben Dario", Unan-managua
Managua
UNIVERSITY OF LEEDS
United Kingdom
Address
Clarendon Road 71-75
LS12 9PL Leeds