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When Public Services Contracts are Poorly Managed: An Analysis of Malawi’s Service Level Agreements

International Public Management Review

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Title When Public Services Contracts are Poorly Managed: An Analysis of Malawi’s Service Level Agreements
 
Creator Tambulasi, Richard
 
Description This paper contributes to the debate about the understanding of contextual factors in contracting out public services in developing countries. It argues that contractual rela-tionships that the Ministry of Health enters with faith-based health service providers in Malawi are not effective due to poor design, implementation and management ar-rangements. As a result the contracts have become more mechanisms for quantitative increase and access to services rather than tools for ensuring quality and accountability in service delivery. Although the arrangement contributes to the increased access to health services, it is not cost-effective and the quality of services in church health facili-ties remains low, because the process is filled with management and governance chal-lenges. Meanwhile, the Ministry of Health is often accused of delaying payments to the church health service providers thereby sustaining the efficiency and accountability malaise.
 
Publisher International Public Management Review
 
Contributor —
 
Date 2014-07-31
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier http://journals.sfu.ca/ipmr/index.php/ipmr/article/view/224
 
Source International Public Management Review; Vol 15, No 1 (2014); 83-99
1662-1387
 
Language eng
 
Relation http://journals.sfu.ca/ipmr/index.php/ipmr/article/view/224/223
 
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