Third party monitoring for health in Afghanistan
The good, the bad and the ugly
Datos Bibliográficos
Third party monitoring (TPM) is used in development programming to assess deliverables in a contract relationship between purchasers (donors or government) and providers (non-governmental organisations or non-state entities). In this paper, we draw from our experience as public health professionals involved in implementing and monitoring the Basic Package of Health Services (BPHS) and the Essential Package of Hospital Services (EPHS) as part of the SEHAT and Sehatmandi programs in Afghanistan between 2013 and 2021. We analyse our own TPM experience through the lens of the three parties involved: the Ministry of Public Health; the service providers implementing the BPHS/EPHS; and the TPM agency responsible for monitoring the implementation. Despite the highly challenging and fragile context, our findings suggest that the consistent investments and strategic vision of donor programmes in Afghanistan over the past decades have led to a functioning and robust system to monitor the BPHS/EPHS implementation in Afghanistan. To maximise the efficiency, effectiveness and impact of this system, it is important to promote local ownership and use of the data, to balance the need for comprehensive information with the risk of jamming processes, and to address political economy dynamics in pay-for-performance schemes. Our findings are likely to be emblematic of TPM issues in other sectors and other fragile and conflicted affected settings and offer a range of lessons learnt to inform the implementation of TPM schemes
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Adaptive management in a dynamic monitoring and evaluation environment
Assessing the impact of the Taliban takeover on accessibility, availability, acceptability and quality of public healthcare facilities in Afghanistan
The availability of essential medicines in public healthcare facilities in Afghanistan
Engagement with Non‐State Service Providers in Fragile States
Monitoring and evaluating the implementation of essential packages of health services
Estimating maternal mortality
Performance-based financing in three humanitarian settings
Afghanistan's Basic Package of Health Services
Aid effectiveness in rebuilding the Afghan health system
The effectiveness of contracting-out primary health care services in developing countries
Contracting for health and curative care use in Afghanistan between 2004 and 2005
Did contracting effect the use of primary health care units in Pakistan
Health financing in fragile and conflict-affected settings
A Basic Package of Health Services for Post-Conflict Countries
Negotiating the swamp
| Obras citantes distintas | 3 |
|---|---|
| Citas por año | 3 |
| Intervalo de citas | 2025 - 2026 (2) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 3 |