Afghanistan: 15 years of contracting out health services
As of 2002, Afghanistan entered a unique, novel ‘experiment’ by contracting out the provision of all primary health care services to national and international NGOs, with the Ministry of Public Health in the role of steward, setting policies and monitoring outcomes.
An independent ‘Third Party Evaluator’ using several tools, including a Balanced Score Card, provides data that contribute to monitoring the contracts. Tapping into being involved in the Third Party project, this presentation aims to reflect on the model of contracting out, health outcomes achieved, and the use of the monitoring tools. Set against the background of ongoing conflict in the country.
Egbert Sondorp is Senior Health Advisor at KIT Royal Tropical Institute in Amsterdam, the Netherlands and Honorary Lecturer at LSHTM, following a decade of Senior Lecturership at LSHTM managing the School’s Conflict and Health programme. He was involved in several projects in Afghanistan during his time at LSHTM and has recently taken up the role of project manager for the Third Party Evaluator project. The latter is run by KIT in collaboration with an Afghan institute.