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Parallel NGO networks for HIV control: risks and opportunities for NGO contracting
Shehla Zaidi1, Xaher Gul, Noureen Aleem Nishtar
1The Aga Khan University, Karachi, Pakistan.
Global Journal of Health Science
|March 1, 2013
Summary
Contracting non-governmental organizations (NGOs) for health services assumes a unified market, but Pakistan
Area of Science:
- Public Health
- Health Policy
- Non-governmental Organizations
Background:
- Policy measures for health services increasingly involve contracting non-governmental organizations (NGOs).
- Contracting health services often assumes a monolithic NGO market, driven by neo-liberal, market-based competition.
- This approach is common in preventive and promotive health service delivery.
Purpose of the Study:
- To investigate the structure of the NGO market in the context of health service contracting.
- To analyze the implications of NGO market structure on service delivery, using HIV control in Pakistan as a case study.
- To identify policy recommendations for effective NGO contracting in public health.
Main Methods:
- A case study approach was employed focusing on HIV control programs in Pakistan.
- The study examined the NGO market structure, including service packages, approaches, and agendas.
- Analysis focused on the impact of contracting on NGO capacities and inter-network dynamics.
Main Results:
- The NGO market for HIV services in Pakistan is not monolithic but comprises parallel networks with diverse packages and agendas.
- These networks evolved due to vertical policy agendas, leading to uneven capacities and rivalries.
- Contracting facilitated standardization of HIV prevention services among different NGO clusters.
Conclusions:
- Market-based contracting for health services requires complementary policy measures to foster shared understanding among NGOs.
- Addressing uneven capacities and turf rivalries is crucial for effective NGO contracting.
- Policy must support harmonization of approaches and agendas within the NGO sector for public health goals.
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