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Impact Evaluation of the Kyrgyz Republic Quality of Care PBF Pilot Program: Overview and Summary Findings

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This PowerPoint highlights some of the results from the recently completed randomized impact evaluation of the Performance-Based Financing (PBF) pilot implemented at maternity hospitals in the Kyrgyz Republic. This PBF program is unique in that it only incentivizes the quality, and not the quantity, of maternal and neonatal health services. The evaluation contrasts PBF against both enhanced quality supervision – the same Balanced Scorecard approach but without linked financial incentives – and a business-as-usual arm.  Results suggest that both PBF and enhanced supervision improve select dimensions of structural and process quality, but that PBF leads to better health outcomes.

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