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Table 2 Key actions for strategic purchasing in relation to different stakeholders within the health system

From: (How) does RBF strengthen strategic purchasing of health care? Comparing the experience of Uganda, Zimbabwe and the Democratic Republic of the Congo

Key strategic purchasing actions by government • Establish clear frameworks for purchaser(s) and providers
• Ensure accountability of purchaser(s)
• Ensure adequate resources mobilised
• Fill service delivery infrastructure gaps
Key strategic purchasing actions in relation to citizens/population served • Assess needs, preferences, values of the population to specify benefits
• Inform the population of entitlements, establish mechanisms for complaints and feedback, publicly report on use of resources and performance
Key strategic purchasing actions in relation to providers • Select (accredit) providers
• Establish service agreements/contracts
• Design, implement, modify provider payment methods to encourage efficiency and quality
• Establish provider payment rates and pay providers regularly
• Allocate resources equitably, implement other strategies to promote equitable access and monitor user payment policies
• Develop, manage and use information systems, secure information on services provided, monitor/supervise provider performance and act on poor performance, audit provider claims, protect against fraud and corruption
  1. Source: authors’ adaptation based on [8]