• Login
    View Item 
    •   OpenDocs Home
    • Institute of Development Studies Research Repository
    • K4D
    • K4D
    • View Item
    •   OpenDocs Home
    • Institute of Development Studies Research Repository
    • K4D
    • K4D
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Evidence and Experience of Procurement in Health Sector Decentralisation

    Thumbnail
    Download
    108 Evidence and experiences of other countries health procurement.pdf (324.3Kb)
    Date
    2017-05-24
    Author
    Millington, Kerry
    Bhardwaj, Minakshi
    Metadata
    Show full item record
    Impact
    Abstract
    Improving the efficiency, effectiveness, equity and responsiveness of supply chains and procurement processes for pharmaceuticals, vaccines and other health products, which make up a large share of total health expenditure in low and middle-income countries (LMICs), has important implications for health system performance and population health. Decentralised governance of health services provides greater autonomy in planning, management and decision making from national to sub-national level and has occurred in many LMICs largely as a response to the primary healthcare approach promoted by international agencies. Evidence suggests that procurement is more efficient when centralised because of economies of scale and improved purchasing power whilst other health system functions such as financing and planning/budgeting benefit more from local context-specific implementation. Nepal is embarking on a process of decentralisation after adopting a federal approach to local governance. This helpdesk report looks at other countries to summarise key findings and lessons learnt from decentralised procurement.
    URI
    https://opendocs.ids.ac.uk/opendocs/handle/20.500.12413/13078
    Citation
    Millington K. A. and Bhardwaj M. (2017). Evidence and experience of health procurement in health sector decentralisation. K4D Helpdesk Report. Brighton, UK: Institute of Development Studies
    Is part of series
    K4D helpdesk report;
    Rights holder
    DFID
    Rights details
    https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/
    Collections
    • K4D [935]

    About OpenDocs | OpenDocs Policy | Help | Contact Us | Send Feedback | Disclaimer and Cookies
     

     

    Browse

    All of OpenDocsCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    About OpenDocs | OpenDocs Policy | Help | Contact Us | Send Feedback | Disclaimer and Cookies