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To overcome these deficiencies in primary health care facilities, contracting out management and delivery of preventive services to NGOs or healthcare providers, has been proposed, underscoring the need for Government to establish a regulatory framework [ 6].
One of the few studies that examine public and private delivery of hospital services [ 33] finds that contracting out management of three rural district hospitals to private for-profit management in South Africa was associated with higher nursing quality but lower structural quality and no difference in maternal and perinatal mortality rates compared to three paired public hospitals.
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Exhibit A: Buried in Walker's bill to strip public employees of their rights is a provision that would allow the state to sell or contract out management of state-owned power plants without the standard competitive bidding that saves taxpayers money and protects against political corruption.
Zimbabwe recently made a more concerted effort to address public health sector worker motivation through a series of reforms, including financial reforms, management strengthening, decentralization, and contracting out.
Contracting out is another form of privatization in healthcare management and operations [ 1].
Even small companies can now afford to operate internationally by contracting out the management of the process.The logistics business used to be all about the management of transport costs, says John Allan, "but it is now more about the ability to transform the capital nature of the business".
Contracting out cleaning and catering may be a sensible way of reducing their overheads, but contracting out important management decisions looks suspiciously like hollowing out the company.Moreover, companies have begun to realise that, if management advice can be bought openly in the marketplace, it is unlikely to confer a unique competitive advantage on them.
Of course, there's nothing to stop free schools contracting out their management to private companies in exchange for a fee.
Ealing, Harrow and Brent - which has a joint contract with the two other authorities for running its sports centres - expect to save £30m over 10 years by contracting out the management of services.
Contracting out the management of leisure centres and libraries to not-for-profit trusts through innovative, multi-borough contracts will create more modern and inclusive services, and save an estimated £30m over 10 years.
There have been hints that Laxey may make more proposals if the current move fails, including pressing the trust to consider contracting out its management to another investment group.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com