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Strengthening district health service management and delivery through internal contracting: Lessons from pilot projects in Cambodia

Following a decade of piloting different models of contracting, in mid-2009 the Cambodian Ministry of Health began to test a form of ‘internal contracting’ for health care delivery in selected health districts (including hospitals and health centers) contracted by the provincial health department as Special Operating Agencies (SOAs) and provided with greater management autonomy. This […]
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Improving Health Worker Performance: The Patient-Perspective from a PBF Program in Rwanda

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). […]
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Capitation Combined with Pay-for-Performance Improves Antibiotic Prescribing Practices in Rural China

Pay-for-performance in health care holds promise as a policy lever to improve the quality and efficiency of care.  Although the approach has become increasingly popular in developing countries in recent years, most policy designs do not permit the rigorous evaluation of its impact. Thus, evidence of its effect is limited.   In collaboration with the government […]
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How to Conduct a Discrete Choice Experiment for Health Workforce Recruitment and Retention in Remote and Rural Areas: A User Guide with Case Studies

This guide aims to provide easy-to-read information and step-by-step advice on a quantitative research method that can help identify appropriate policy responses to health workforce shortages in remote and rural areas. This method can provide policy makers with quantitative measures of the relative importance of different job characteristics that influence the choice of health workers for rural postings. The […]
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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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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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