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Faith-Based Not-For-Profit Organization Contracting in Uganda

last updated Sep 27, 2011

Overview

Implementing organization: 
Faith-Based NGOs
Legal Status: 
Public-private partnership
Year Launched: 
1998
Stage: 
Unknown

Funding

Primary Source of Funding: 
Government
Summary: 

In recognition that many of the FB-PNFP hospitals were more efficient than most public hospitals, government initiated a scheme to fund them through negotiated contracting.

Key program components: 

Hospitals run by faith-based not-for-profit organisations (FB-PNFP) have long provided over 50 per cent of beds and 60 per cent of hospital services in Uganda. Most of these are church-based NGOs. They depended on high levels of self-financing from user fees but this became insufficient for some to continue.

In recognition that many of the FB-PNFP hospitals were more efficient than most public hospitals, government initiated a scheme to fund them through negotiated contracting. It was agreed that the hospitals would use the funds to freeze user fees, improve services and improve staff wages based on the provision of specific services. Guidelines for the use of funds were drawn up and resources allocated according to an agreed formula.

Simple contracts in the form of a memorandum of understanding (MOU) were deployed. Monitoring was contracted out to the medical bureau overseeing the FB-PNFP hospitals.Limited evaluation indicates that staff salaries have been increased, user fees have been reduced, and there has been increased utilization of services especially by vulnerable groups and children.

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