Contextual factor | Features (positive (+) or negative (−) impact) affecting contracting-out |
---|---|
Sociocultural environment | • Ethnic and religious traditions and cultures (+/-) • Traditional gender constructs (−) • Social capital and culture of community participation (+) |
Political, policy and legal environment | • Capacity and structure of provincial health departments (+/-) • Influence of political leadership on hiring of staff and implementation of services (−) • Conflict and insecurity (−) • MoPH and central government’s enabling legal and policy environment (+) |
Geography | • Accessibility of health services to population (+/-) • Willingness of health professionals to serve in remote/insecure areas (+/-) • Ease of access for supplies (+/-) • Ease of access for monitoring (+/-) |