Contracting Resources

SHOPS Plus supports public and private sector actors to collaborate in heath financing programs that pay for covered services delivered to beneficiaries. A key mechanism for this is through contracts between health providers and purchasers of health services. Purchasers can include government or private sponsors, or an intermediary, such as an insurance program.

See below to find a curated list of resources related to contracting:


Contracting to Provide Family Planning Services: Frequently Asked Questions



Digitizing and Contracting Private Practices to Sustain Family Planning: Lessons from Kenya. 2021. Bunyi, M., Holtz, J., and Odeyo, J. Rockville, MD: Sustaining Health Outcomes through the Private Sector Plus Project, Abt Associates Inc.

Public-Private Partnerships for Family Planning Commodities. 2021. Callahan, S. and Holtz, J. Brief. Rockville, MD: SHOPS Plus, Abt Associates Inc.

Integrating Family Planning into Universal Health Coverage Efforts. 2018. Holtz, J. and Sarker, I. Bethesda, MD. SHOPS Plus Project, Abt Associates Inc.

Opening the Door to Health Insurance Programs: Experiences of small and medium private providers. 2018. Holtz, J. and Sarker, I. Bethesda, MD. SHOPS Plus Project, Abt Associates Inc.

USAID Global Health e-learning course: Contracting for Family Planning and Reproductive Health Services. 2016. Holtz, J. and Callahan, S. Bethesda, MD: SHOPS Project, Abt Associates Inc.

Designing Public-Private Partnerships in Health. 2011. Bethesda, MD: SHOPS Project, Abt Associates.



Training materials on contracting

Training on public-private contracting for HIV/AIDS or other health services

Masterclass: Public-Private Contracting for HIV and Other Essential Health Services


Other References

A Guide to Contracting for Health Services During the COVID-19 Pandemic. 2020. Hellowell, M., Myburgh, A., Appleford, G., Mohan, P., Clarke, D., O’Hanlon, B. Geneva: World Health Organization.

Public-Private Contracting to Support the COVID-19 Response. 2020. Holtz, J. White paper. Abt Associates, Rockville, Maryland

Engaging the private health service delivery sector through governance in mixed health systems: strategy report of the WHO Advisory Group on the Governance of the Private Sector for Universal Health Coverage. 2020. World Health Organization.

Contracting out to improve the use of clinical health services and health outcomes in low-and middle-income countries (Review). 2020. Odendaal WA, Ward K, Uneke J, Uro-Chukwu H, Chitama D, Balakrishna Y, Kredo T. Cochrane Database of Systematic Reviews.

Desk-based review of Roles and Practices of Health Care Provider Aggregators. 2019. Appleford, G., Ishtiaq, A and Hariharan, N.  African Health Markets for Equity, Marie Stopes International.

Jams Clause Workbook. 2018. Jams.

Contracting non-state providers for universal health coverage; learnings from Africa, Asia, and Eastern Europe. 2018. Rao, K.D., Paina, L., Ingabire, M.G., Shroff, Z.C.  International Journal for Equity in Health (2018) 17:127

Strategic Contracting for Health Systems and Services. 2012, 2017. WHO; Perrot, J. and de Roodenbeke, E., editors. Taylor and Francis Group

Intermediaries: The Missing Link in Improving Mixed market Health Systems? 2016. Dimovska, D. and Lagomarsino, G. Results for Development Institute.

Filling the Gap: Lessons for Policymakers and Donors on Contracting Out Family Planning and RH Services. 2012. Corby, N., M. Nunn, and K. Welch. Bethesda, MD: SHOPS Project, Abt Associates.

Performance-Based Contracting for Health Services in Developing Countries. 2008. Loevinsohn, B. The World Bank.

Building results? Contracting for health service delivery in developing countries. 2005. Loevinsohn, B. and A. Harding, A.

Contracting for Health Care Service Delivery: A Manual for Policy Makers. 2004. Abramson, W. Commercial Market Strategy Project funded by USAID and implemented by John Snow, Inc.

Experience of contracting with the private sector: a selective review. 2004. England, R.  Health Systems Resource Centre, DFID.

Private Participation in Health Services. 2003. Harding, A., and Preker A. S. Washington, DC: World Bank.



    Sustaining Health Outcomes through the Private Sector (SHOPS) Plus is a five-year cooperative agreement (AID-OAA-A-15-00067) funded by the United States Agency for International Development (USAID). This website is made possible by the generous support of the American people through USAID. The information provided on this website is not official U.S. government information and does not represent the views or positions of USAID or the U.S. government.

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