Contracting-out urban primary health care in Bangladesh: a qualitative exploration of implementation processes and experience

Contracting-out (CO) to non-state providers is used widely to increase access to health care, but it entails many implementation challenges. Using Bangladesh’s two decades of experience with contracting out Urban Primary Health Care (UPHC), this paper identifies contextual, contractual, and actor-related factors that require consideration when implementing CO in Low- and Middle- Income Countries.

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Islam R, Hossain S, Bashar F, Muberra Khan S, Sikder AAS, Yusuf SS et al. Contracting-out urban primary health care in Bangladesh: a qualitative exploration of implementation processes and experience. International Journal for Equity in Health. 2018; 17(93). doi: 10.1186/s12939-018-0805-1