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Ensuring that the Poor Share Fully in the Benefits

If programs are undertaken without conscious attention to including disadvantaged groups, there are a priori reasons for suspecting that they will favor the better-off, thereby exacerbating inequalities. But such an outcome is far from inevitable. Many plausible approaches are available for directing benefits toward the poor; and several of these have proven effective often enough to deserve […]

October 8, 2021

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Cambodia - Contracting Health Care Services for the Rural Poor

This brief is an overview of Cambodia’s efforts to reach the rural poor with health care services. In the mid-1990s, the country began an experiment of contracting NGOs to manage the public health care system at the district level in rural areas, with results that show that while all districts increased health service coverage rates, […]

October 8, 2021

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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 […]

October 8, 2021

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Does Training on Performance-Based Financing Make a Difference in Performance and Quality of Health Care Delivery? Health Care Provider’s Perspective in Rungwe Tanzania

In recent years, Performance Based Financing (PBF); a form of result based financing, has attracted global attention in health systems in developing countries. PBF promotes autonomous health facilities, motivates and introduces financial incentives to motivate health facilities and health workers to attain pre-determined targets. To achieve this, the Tanzanian government through the Christian Social Services […]

October 7, 2021

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Rwanda: Can Bonus Payments Improve the Quality of Health Care?

Ensuring that women and children receive quality health care is a key to alleviating poverty, but in many developing countries, access to appropriate medi­cal care is limited. In recent years, policymakers and health experts have promoted the use of performance-based bonuses to motivate health-care workers to fol­low best practices and ensure that patients receive key […]

October 7, 2021

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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 […]

October 7, 2021

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Introduction of Performance-Based Financing in Burundi Was Associated with Improvements in Care and Quality

Several governments in low- and middle-income countries have adopted performance-based financing to increase health care use and improve the quality of health services. We evaluated the effects of performance-based financing in the central African nation of Burundi by exploiting the staggered rollout of this financing across provinces during 2006–10.We found that performance-based financing increased the […]

October 7, 2021