Table 4 Strengths and weaknesses in the SHP function of providers from whom goods and services are purchased
State budgetary allocation for health | State social health insurance scheme |
|---|---|
Strengths include - Supply side subsidies to public providers to enhance service delivery standards - Contracting with private providers for the supply of medicines, medical devices and supplies - Supportive supervision of public providers to ensure compliance to quality standards - Occasional sanctions to erring providers Weaknesses include - Lack of standards and performance criteria to hold providers accountable for service delivery - Lack of providers’ compliance to procuring medicines, medical devices and supplies from accredited vendors - Weak data systems to support monitoring of provider performance. - Poor coordination across levels of care | Strengths include existence of - Accreditation guidelines that determine eligibility for providers of healthcare services to participate for each level of care - Eligibility standards for providers of medicines, medical devices and supplies - Clear guidelines which specify that at least 30% of health service providers will be from the private sector Weaknesses include - Lower eligibility standards for public providers compared to private providers |
Opportunity | Opportunity |
Contracting with private sector providers for service provision to improve access to and quality of care | Selective contracting across public and private facilities to improve the quality of health service delivery and build provider trust |
Threat | Threat |
Weak data systems for performance monitoring and poor provider compliance can lead to poor quality of service delivery and undermine people’s trust in the health system | Poor quality of service delivery in public health facilities can undermine trust in the scheme |