Improving Health Worker Performance: The Patient-Perspective from a PBF Program in Rwanda

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About this resource

Over recent decades, paying healthcare providers against agreed performance targets has gained momentum in high income countries and more recently in low and middle income countries (LMIC). Poor performance in health systems is a worldwide concern and greater investment in the health sector do not necessarily translate to better health outcomes (World Health Organization, 2000).

This study uses data from a randomized impact evaluation in Rwanda conducted between 2006 and 2008 in 157 primary level facilities is used to explore patients’ satisfaction with clinical and non-clinical services and quantify the contribution of individual and facility characteristics to satisfaction including PBF.