Service Delivery

"Alongside efforts to strengthen the capacity of the public sector to deliver basic services at scale, there is also recognition that in humanitarian situations and in fragile states where the capacity of public institutions is often severely constrained, increased service coverage may not be achieved by replicating existing models for service delivery or focusing only on the public sector. Engaging with non-state service providers, which encompass a range of actors, including non-governmental organizations, private-for-profit, informal and traditional providers should be examined in efforts to reach all children with essential services. Non-estate providers comprise a diverse group with differing goals, incentives, levels of presence, political and economic leverage, and sometimes targeting specific groups. They are often major providers of services to the poor. Much of the work with non-state providers has sought to demonstrate that it is possible to overcome public sector constraints by working with non-state providers through mechanisms such as contracting, franchising or social marketing. There is, however, some evidence of non-state providers working at scale, such as in the social marketing of condoms and the distribution of malaria bed nets using a scheme which links the public distribution of vouchers with private provision of nets." (PPPM, Chapter 3.6.9., 2015 (require Intranet access))

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