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Health Services Contracting in Chad

last updated Sep 27, 2011

Overview

Implementing organization: 
Ministry of Health
Legal Status: 
Public-private partnership
Year Launched: 
2001
Stage: 
Existing/expansion stage

Funding

Primary Source of Funding: 
Government
Funders: 
Ministry of Health
Summary: 

Chad’s contracting policy document was elaborated in 2001, in line with the National Health Policy of 1999. The Chad legal framework is an example of a strategy that has been effectively translated into action.

Key program components: 

The type of formalized contracting that exists in Chad is very ambitious. It does not just allow for the delegation of the mission of public service to health facilities (hospitals) but potentially also to the districts themselves. The contracting model can be applied to all potential partners within the not for profit sector: national or international NGOs (faith-based or not), bilateral and multilateral cooperation agencies. The present contracts include mainly faith-based organizations (belonging to UNAD or EEMET in particular) as well as a certain number of international NGOs (MSF). More recently, pilot experiments have been set up in the drug sector, whereby the management of regional pharmacies (PRA) has been entrusted to private organizations

The contracting policy is based on the decentralization of authority to intermediate and peripheral levels. The prefectural health representatives in particular are responsible for setting up operational contracts at their level. The decentralization process is nevertheless not fully complete at the moment.

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