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104 Results

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Alignment of Performance-Based Financing in Health with the Government Budget : A Principle-Based Approach

This paper develops a conceptual framework for how to think about aligning Performance-Based Financing (PBF) principles with Public Financial Management (PFM) structures; offers a set of diagnostic questions for an assessment; and helps guide an analyst through the process of developing a reform roadmap, considering country context. As a discussion paper, it also aims to […]
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A Taxonomy and Results from a Comprehensive Review of 28 Maternal Health Voucher Programs

The findings in this paper are intended to guide governments interested in maternal health voucher programs with recommendations for sustainable implementation and impact. The Evidence Summit undertook a systematic review of five financing strategies. This paper presents the methods and findings for vouchers, building on a taxonomy to catalogue knowledge about voucher program design and […]
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How to Contract: What Works and What Doesn’t

Summary for web of Section 3, pp. 19–66 in Performance-Based Contracting for Health Services in Developing Countries: A Toolkit by Benjamin Loevinsohn. This book was written to help bridge the yawning gap between many developing countries and the Development Goals for health. Right now, that gap looks daunting. But we can narrow the gap significantly by contracting, […]
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Cost-effectiveness analysis of the decentralized facility financing and performance-based financing program in Nigeria

Nigeria piloted decentralized facility financing (DFF) and performance-based financing (PBF) programs under the Nigeria State Health Investment Project (NSHIP), funded by the World Bank. It aimed to increase the utilization and quality of MCH services. Although many low- and middle-income countries have launched or piloted DFF and/or PBF like programs and conducted impact evaluation, very […]
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Financial Risk Protection from Social Health Insurance

This paper estimates the impact of social health insurance on financial risk by utilizing data from a natural experiment created by the phased roll-out of a social health insurance program for the poor in India. We estimate the distributional impact of insurance on of out-of-pocket costs and incorporate these results with a stylized expected utility […]