{"id":987516179,"date":"2022-01-16T15:27:30","date_gmt":"2022-01-16T14:27:30","guid":{"rendered":"https:\/\/p4h.world\/documents\/improving-health-service-delivery-in-conflict-affected-settings-lessons-from-a-nationwide-strategic-purchasing-mechanism-in-afghanistan\/"},"modified":"2022-01-16T15:27:30","modified_gmt":"2022-01-16T14:27:30","slug":"improving-health-service-delivery-in-conflict-affected-settings-lessons-from-a-nationwide-strategic-purchasing-mechanism-in-afghanistan","status":"publish","type":"documents","link":"https:\/\/p4h.world\/en\/documents\/improving-health-service-delivery-in-conflict-affected-settings-lessons-from-a-nationwide-strategic-purchasing-mechanism-in-afghanistan\/","title":{"rendered":"Improving health service delivery in conflict-affected settings: Lessons from a nationwide strategic purchasing mechanism in Afghanistan"},"content":{"rendered":"<p>Due to ongoing insecurity, the government of Afghanistan delivers health care to the country\u2019s population by contracting out service delivery to non-governmental organization service providers (SPs). In 2018, major changes to SP contracts were introduced, resulting in a new pay-for-performance service delivery model called \u201cSehatmandi\u201d to reduce the need to purchase health services from private providers and out-of-pocket expenditure. This study presents a narrative review of Sehatmandi\u2019s key features as well as lessons learned during implementation.<br \/>\nIt evaluates the difference between the rate of change in the volume of services delivered in provinces under the pay-for-performance mechanism relative to provinces that were not financed using pay-for-performance. Time trends in non-payment service indicators and service quality are also examined.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Due to ongoing insecurity, the government of Afghanistan delivers health care to the country\u2019s population by contracting out service delivery to non-governmental organization service providers (SPs). In 2018, major changes to SP contracts were introduced, resulting in a new pay-for-performance service delivery model called \u201cSehatmandi\u201d to reduce the need to purchase health services from private&#8230;<\/p>\n","protected":false},"author":559,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":""},"categories":[],"tags":[132],"document_type":[2321],"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987516179"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/documents"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/559"}],"replies":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/comments?post=987516179"}],"version-history":[{"count":0,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987516179\/revisions"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987516179"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/categories?post=987516179"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/tags?post=987516179"},{"taxonomy":"document_type","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/document_type?post=987516179"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}