Center for Health Market Innovations (CHMI)

Programs

NGO Contracting in Guatemala

last updated Oct 21, 2011

Overview

Implementing organization: 
Ministry of Health
Legal Status: 
Public-private partnership
Year Launched: 
1998
Income Level of Target Population: 
Bottom 20%

Funding

Primary Source of Funding: 
Government
Summary: 

In 1998, the Guatemalan congress approved a new regulatory framework that empowered the Ministry of Health to contract nongovernmental organizations (NGOs) to deliver health services. The overall goal of this initiative was to achieve maximum impact on maternal and infant mortality and morbidity while keeping costs at a sustainable level. More immediate objectives were to increase overall access to basic health services and improve equity in access to these services for poor populations.

Key program components: 

The contracting programs were designed to deliver a basic package of health services that gave priority to prevention, maternal and child health care, and basic curative services. Under a relational contract, that is, an informal agreement between the government and NGOs, the private providers were paid on a per capita basis, with higher payments for services provided to isolated populations. By the end of 1999, 84contracted NGOs were providing services to 37percent of the population on behalf of the government. In 1999, the government spent $8 million on the program out of a total health budget of about $19.5million.

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