Common use of Future Challenges Clause in Contracts

Future Challenges. The sustainability strategies implemented by CSRA depend on securing Bolivian Government funds. This is a high-risk business. CSRA has been very successful to date, given the limited time frame during which decentralization and municipal financial management and decision- making processes have been in place in Bolivia. A key requirement for future success in shared management of health systems is to tighten formal agreements with municipal and regional governments and MOH Districts. Another requirement is on-going training of municipal authorities in the basics of health governance. This is essential given the frequent changes that take place among municipal leaders. Another key for success is for CSRA to reduce its commitment to municipal governments that do not provide the agreed upon counterpart funding. As CSRA enters into new geographical areas, clear conditions are now placed on municipal government partners, including a commitment for on-going operational expenses for local health systems.