<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns="http://www.w3.org/TR/REC-html40" xmlns:v =
"urn:schemas-microsoft-com:vml" xmlns:o =
"urn:schemas-microsoft-com:office:office" xmlns:w =
"urn:schemas-microsoft-com:office:word" xmlns:x =
"urn:schemas-microsoft-com:office:excel" xmlns:p =
"urn:schemas-microsoft-com:office:powerpoint" xmlns:dt =
"uuid:C2F41010-65B3-11d1-A29F-00AA00C14882" xmlns:oa =
"urn:schemas-microsoft-com:office:activation" xmlns:html =
"http://www.w3.org/TR/REC-html40"><HEAD>
<META http-equiv=Content-Type content="text/html; charset=iso-8859-1">
<META content="MSHTML 6.00.2745.2800" name=GENERATOR>
<STYLE>@font-face {
font-family: Verdana;
}
@page Section1 {size: 8.5in 11.0in; margin: 1.0in 1.25in 1.0in 1.25in; }
P.MsoNormal {
FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; FONT-FAMILY: "Times New Roman"
}
LI.MsoNormal {
FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; FONT-FAMILY: "Times New Roman"
}
DIV.MsoNormal {
FONT-SIZE: 12pt; MARGIN: 0in 0in 0pt; FONT-FAMILY: "Times New Roman"
}
A:link {
COLOR: blue; TEXT-DECORATION: underline
}
SPAN.MsoHyperlink {
COLOR: blue; TEXT-DECORATION: underline
}
A:visited {
COLOR: purple; TEXT-DECORATION: underline
}
SPAN.MsoHyperlinkFollowed {
COLOR: purple; TEXT-DECORATION: underline
}
P {
FONT-SIZE: 12pt; MARGIN-LEFT: 0in; MARGIN-RIGHT: 0in; FONT-FAMILY: "Times New Roman"; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
SPAN.EmailStyle17 {
COLOR: windowtext; FONT-FAMILY: Arial; mso-style-type: personal-compose
}
P.ja50-outline-level-14 {
FONT-WEIGHT: bold; FONT-SIZE: 10pt; MARGIN: 0in 0in 0pt; COLOR: #585858; FONT-FAMILY: Verdana
}
LI.ja50-outline-level-14 {
FONT-WEIGHT: bold; FONT-SIZE: 10pt; MARGIN: 0in 0in 0pt; COLOR: #585858; FONT-FAMILY: Verdana
}
DIV.ja50-outline-level-14 {
FONT-WEIGHT: bold; FONT-SIZE: 10pt; MARGIN: 0in 0in 0pt; COLOR: #585858; FONT-FAMILY: Verdana
}
P.ja50-ce-author-group2 {
FONT-SIZE: 8.5pt; MARGIN-LEFT: 0in; COLOR: #585858; LINE-HEIGHT: 18pt; MARGIN-RIGHT: 0in; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
LI.ja50-ce-author-group2 {
FONT-SIZE: 8.5pt; MARGIN-LEFT: 0in; COLOR: #585858; LINE-HEIGHT: 18pt; MARGIN-RIGHT: 0in; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
DIV.ja50-ce-author-group2 {
FONT-SIZE: 8.5pt; MARGIN-LEFT: 0in; COLOR: #585858; LINE-HEIGHT: 18pt; MARGIN-RIGHT: 0in; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
P.ja50-ce-doi4 {
FONT-SIZE: 9pt; MARGIN-LEFT: 0in; COLOR: #585858; MARGIN-RIGHT: 0in; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
LI.ja50-ce-doi4 {
FONT-SIZE: 9pt; MARGIN-LEFT: 0in; COLOR: #585858; MARGIN-RIGHT: 0in; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
DIV.ja50-ce-doi4 {
FONT-SIZE: 9pt; MARGIN-LEFT: 0in; COLOR: #585858; MARGIN-RIGHT: 0in; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
P.subtitleit2 {
FONT-WEIGHT: bold; FONT-SIZE: 10pt; MARGIN-LEFT: 0in; COLOR: #585858; MARGIN-RIGHT: 0in; FONT-STYLE: italic; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
LI.subtitleit2 {
FONT-WEIGHT: bold; FONT-SIZE: 10pt; MARGIN-LEFT: 0in; COLOR: #585858; MARGIN-RIGHT: 0in; FONT-STYLE: italic; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
DIV.subtitleit2 {
FONT-WEIGHT: bold; FONT-SIZE: 10pt; MARGIN-LEFT: 0in; COLOR: #585858; MARGIN-RIGHT: 0in; FONT-STYLE: italic; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
P.maintextmodule2 {
FONT-SIZE: 9pt; MARGIN-LEFT: 0in; COLOR: #585858; MARGIN-RIGHT: 0in; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
LI.maintextmodule2 {
FONT-SIZE: 9pt; MARGIN-LEFT: 0in; COLOR: #585858; MARGIN-RIGHT: 0in; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
DIV.maintextmodule2 {
FONT-SIZE: 9pt; MARGIN-LEFT: 0in; COLOR: #585858; MARGIN-RIGHT: 0in; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
P.ja50-ce-simple-para27 {
FONT-SIZE: 9pt; MARGIN-LEFT: 0in; COLOR: #585858; LINE-HEIGHT: 13.5pt; MARGIN-RIGHT: 0in; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
LI.ja50-ce-simple-para27 {
FONT-SIZE: 9pt; MARGIN-LEFT: 0in; COLOR: #585858; LINE-HEIGHT: 13.5pt; MARGIN-RIGHT: 0in; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
DIV.ja50-ce-simple-para27 {
FONT-SIZE: 9pt; MARGIN-LEFT: 0in; COLOR: #585858; LINE-HEIGHT: 13.5pt; MARGIN-RIGHT: 0in; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
P.text {
FONT-SIZE: 8.5pt; MARGIN-LEFT: 0in; COLOR: black; LINE-HEIGHT: 12.75pt; MARGIN-RIGHT: 0in; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
LI.text {
FONT-SIZE: 8.5pt; MARGIN-LEFT: 0in; COLOR: black; LINE-HEIGHT: 12.75pt; MARGIN-RIGHT: 0in; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
DIV.text {
FONT-SIZE: 8.5pt; MARGIN-LEFT: 0in; COLOR: black; LINE-HEIGHT: 12.75pt; MARGIN-RIGHT: 0in; FONT-FAMILY: Verdana; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto
}
DIV.Section1 {
page: Section1
}
</STYLE>
</HEAD>
<BODY lang=EN-US vLink=purple link=blue bgColor=#ffffff>
<DIV><B>From:</B> <A title=ruglucia@PAHO.ORG
href="mailto:ruglucia@PAHO.ORG">Ruggiero, Mrs. Ana Lucia (WDC)</A> </DIV>
<DIV style="FONT: 10pt arial"> </DIV>
<DIV class=Section1>
<P class=MsoNormal
style="MARGIN-LEFT: 0.5in; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><B><FONT
face=Arial color=maroon size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: maroon; FONT-FAMILY: Arial">Buying
results? Contracting for health service delivery in developing
countries<o:p></o:p></SPAN></FONT></B></P>
<P class=MsoNormal><FONT face=Arial color=maroon size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: maroon; FONT-FAMILY: Arial">
</SPAN></FONT><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">Benjamin Loevinsohn
and April Harding - World
Bank<BR>
<B><I><SPAN style="FONT-WEIGHT: bold; FONT-STYLE: italic">The
Lancet</SPAN></I> DOI:10.1016/S0140-6736(05)67140-1<o:p></o:p></B></SPAN></FONT></P>
<P class=MsoNormal><B><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">
Volume 366, Number 9486, 20 August 2005
</SPAN></FONT></B><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">(Registration is
FREE)<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">
Website: <A
href="http://www.thelancet.com/journals/lancet/article/PIIS0140673605671401/fulltext"><FONT
color=#333399><SPAN
style="COLOR: #333399">http://www.thelancet.com/journals/lancet/article/PIIS0140673605671401/fulltext</SPAN></FONT></A>
</SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"></SPAN></FONT> </P>
<P class=MsoNormal><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"></SPAN></FONT> </P>
<P class=MsoNormal><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><o:p></o:p></SPAN></FONT> </P>
<P class=MsoNormal
style="MARGIN-LEFT: 0.5in; LINE-HEIGHT: 13.5pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><FONT
face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">“…..To achieve the
health-related Millennium Development Goals, the delivery of health services
will need to improve. Contracting with non-state entities, including
non-governmental organisations (NGOs), has been proposed as a means for
improving health care delivery, and the global experience with such contracts is
reviewed here. The ten investigated examples indicate that contracting for the
delivery of primary care can be very effective and that improvements can be
rapid. <o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal
style="MARGIN-LEFT: 0.5in; LINE-HEIGHT: 13.5pt; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><FONT
face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">These results were
achieved in various settings and services. Many of the anticipated difficulties
with contracting were either not observed in practice or did not compromise
contracting's effectiveness. Seven of the nine cases with sufficient experience
(greater than 3 years' elapsed experience) have been sustained and expanded.
Provision of a package of basic services by contractors costs between roughly
US$3 and US$6 per head per year in low-income countries. Contracting for health
service delivery should be expanded and future efforts must include rigorous
evaluations…[au] ..”<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal
style="MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 0.5in; MARGIN-RIGHT: 0in; mso-margin-top-alt: 0in"><FONT
face=Arial size=2><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"><o:p></o:p></SPAN></FONT> </P>
<P class=MsoNormal
style="MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 0.5in; MARGIN-RIGHT: 0in; mso-margin-top-alt: 0in"><FONT
face=Arial size=2><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"><o:p>hmmmm!</o:p></SPAN></FONT></P>
<P class=MsoNormal
style="MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 0.5in; MARGIN-RIGHT: 0in; mso-margin-top-alt: 0in"><FONT
face=Arial size=2><SPAN
style="FONT-SIZE: 10pt; FONT-FAMILY: Arial"><o:p>Claudio</o:p></SPAN></FONT></P></DIV></BODY></HTML>