By World Bank
"A advisor to aggressive Vouchers in overall healthiness offers instruments that may aid ascertain the appropriateness of aggressive vouchers to satisfy assorted coverage targets. The e-book explains capability benefits and downsides of this process and discusses how you can carry public health and wellbeing care subsidies that advertise potency, innovation, and responsibility. A consultant to aggressive Vouchers in health and wellbeing is directed to foreign donors and wellbeing and fitness care services and policymakers in built and constructing international locations.
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Extra resources for A guide to competitive vouchers in health
Has the full range of possible interventions been considered and one or more selected on the basis of expected cost-effectiveness? Have existing programs and services to address problems been documented? Have all other contextual aspects to addressing the problem been recorded? Has the full range of possible interventions been considered and one or more selected on the basis of expected cost-effectiveness? Have key stakeholders been identified and potential partnerships considered? Box 3-1. Prefeasibility Work on a Voucher Scheme for Cervical Cancer Screening Problem: Mortality from cervical cancer, the single greatest killer of adult women in Nicaragua.
Other countries prohibit public sector providers from receiving cash, which limits the use of monetary incentives. In these cases, public providers cannot receive extra payment from outside or private funding sources, which becomes an issue if, for example, a private foundation were trying to fund the subsidies. Legal requirements can also undermine the flexibility the voucher agency needs to get a scheme up and running. If the scheme is based in a public sector institution, such as the ministry of health, laws and regulations regarding the contracting of staff or externally provided services may be rigid and bureaucratic.
Financial transparency can be ensured by regular audits, but it is equally important that the organization is—and is perceived to be—objective in negotiating and awarding contracts. Administrative and Transaction Costs Voucher schemes can be administratively onerous compared with traditional supply-side subsidies, and there are significant transaction costs associated with negotiating and monitoring contracts. A detailed discussion of this topic appears in chapter 5. Lack of Adequate Transport and Communications Voucher schemes require transport and communications networks developed enough to ensure the reliable distribution of vouchers and the timely exchange of information between the voucher agency and other organizations involved.
A guide to competitive vouchers in health by World Bank