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Does Results-Based Aid Change Anything? Pecuniary Interests, Attention, Accountability and Discretion in Four Case Studies

(L’aide basée sur les résultats change-t-elle les choses ? Intérêts pécuniaires, attention, redevabilité et discrétion dans quatre études de cas) Cet article étudie les programmes d’aide à l’étranger, connus comme l’aide basée sur les résultats (RBA), dans lesquels un gouvernement débourse des fonds à un autre pour atteindre un résultat. Au moins quatre théories sont […]
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African Participation and Partnership in Performance-Based Financing: A Case Study in Global Health Policy

Participation is a key policy concept in global health, and relates to the ability of stakeholders to engage with and shape health policy at four intersecting levels: local, national, regional and global. Such engagement remains the key normative aim behind debates about furthering more equitable health diplomacy and has, as a result, been increasingly integrated into the agenda […]
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Context matters (but how and why?) A hypothesis-led literature review of performance based financing in fragile and conflict-affected health systems

Performance-based financing (PBF) schemes have been expanding rapidly across low and middle income countries in the past decade, with considerable external financing from multilateral, bilateral and global health initiatives. Many of these countries have been fragile and conflict-affected (FCAS), but while the influence of context is acknowledged to be important to the operation of PBF, […]
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Use of Incentives in Health Supply Chains: A Review of Results-Based Financing in Mozambique’s Central Medical Store

This report reviews progress with a results-based financing (RBF) program in Mozambique aimed at strengthening the supply chain, specifically the performance of the Central Medical Store. Introduced in 2013 by USAID, the performance-based government-to-government grant conditions payment of quarterly tranches of funds to the Central Medical Store, (Central de Medicamentos e Artigos Medico [CMAM]), on […]
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Encouraging Service Delivery to the Poor Does Money Talk When Health Workers Are Pro-Poor?

This study uses a novel lab-in-the-field experiment with health care workers in rural Burkina Faso to investigate how payment mechanisms can incentivize providers to deliver healthcare services to the poor.  Importantly, it provides evidence that the effect of bonuses depends on the extra effort needed to serve the poor, and second, that it depends on the […]
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How Performance-Based Financing Empowers the Community and Improves Access to Quality Care in Eastern and North-Western Cameroon

This note examines how implementing the community participation component of the PBF approach has contributed to improvements in the coverage, access and utilization of health services in North-Western (NW) and Eastern regions of Cameroon. This publication is the result of a capitalization process that took place in Cameroon in 2014/2015. The aim of capitalization is […]
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