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Using Performance Incentives to Improve Medical Care Productivity and Health Outcomes

In this paper we provide evidence on the effect of incentives on provider productivity and on health outcomes in Rwanda, where we nested a prospective field experiment into the national rollout of a P4P incentive scheme. P4P affects health care provision in two ways; first, through incentives for providers to expend more effort in specific […]
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The Application of Social Impact Bonds to Universal Health-Care Initiatives in South-East Asia

Social impact bonds (SIBs) have the potential to improve the efficiency of government health-care spending in South-East Asia. In a SIB, governments sign a pay-for-performance contract with one or several providers of health-care services, and the providers borrow up-front capital from investors. Governments outside South-East Asia have started to experiment with SIBs in criminal justice, homelessness and health care. Governments […]
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Cost-Effectiveness of Health Systems Strengthening Interventions in Improving Maternal and Child Health in Low- and Middle-Income Countries: A Systematic Review

This report reviewed the cost-effectiveness of key health systems strengthening intentions, which includes results-based financing (RBF), voucher schemes, health insurance, personnel training, community mobilization, etc., with a total of 24 articles included in the review. Specifically on RBF, this report identified three studies on cost-effectiveness of the RBF programs, and the results showed that RBF […]
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Cost-Effectiveness Analysis of Results-Based Financing Programs: A Toolkit

This toolkit aims to support country programs to assess the cost-effectiveness of RBF interventions and to facilitate cross-country comparisons of RBF programs. This is a companion tool to the Impact Evaluation Toolkit. It is important to note that this toolkit is not designed to replace valuable guidelines for the health sector as a whole. Rather, […]
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Demand-Side Financing for Sexual and Reproductive Health Services in Low and Middle-Income Countries

Demand-side financing approaches have been introduced in a number of low and middle-income countries, with a particular emphasis on sexual and reproductive health. This paper aims to bring together the global evidence on demand-side financing mechanisms, their impact on the delivery of sexual and reproductive health services, and the conditions under which they have been […]
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A Bargain or a Burden? How Conditional Cash Transfer (CCT) Program Design Affects the Women Who Participate in Them

Conditional cash transfers (CCT) play a central role in the anti-poverty strategies of low- and middle-income countries around the world, and at the center of these programs stand some of the world’s neediest women. Designed to improve the health and education of economically deprived children, break the intergenerational cycle of poverty, and alleviate immediate economic distress, […]
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Provider Payment in Community-Based Health Insurance Schemes in Developing Countries: A Systematic Review

Community-based health insurance (CBI) is a common mechanism to generate financial resources for health care in developing countries. We review for the first time provider payment methods used in CBI in developing countries and their impact on CBI performance. We conducted a systematic review of the literature on provider payment methods used by CBI in developing […]
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