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What Happens When Pay for Performance Stops?

No evidence of serious harm so far, but future changes need evaluation. Financial incentives for quality in pay for performance programmes are an attractive improvement method for healthcare payers worldwide, and the UK Quality and Outcomes Framework (QOF) is still one of the largest such programmes. Evidence shows that the QOF improved incentivised quality of […]
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Mobilizing Multiple Voices for RBF Success: The Role of Stakeholder Consultations in Results-Based Financing

Stakeholder consultations, which are frequently Ministry of Health‐led, are an important component of RBF design and implementation. They provide opportunities for the individuals, groups, organizations and institutions involved in results-based financing (RBF) to participate in the decision‐making process and to express their opinions about the implementation of the new financing approach. The information collected during […]
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A Maternal Health Voucher Scheme: What Have We Learned from the Demand-side Financing Scheme in Bangladesh?

It is now more than 2 years since the Ministry of Health and Family Welfare of the Government of Bangladesh implemented the Maternal Health Voucher Scheme, a specialized form of demand-side financing programme. To analyze the early lessons from the scheme, information was obtained through semi-structured interviews with stakeholders at the sub-district level. The analysis […]
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Transfer from International Non-Governmental Organizations to National Performance Purchasing Agencies: The Cameroon Experience

This article describes the transition of responsibilities and functions from international non-governmental organizations (NGO’s) to national performance purchasing agencies during the Performance-Based Financing (PBF) program scale-up in Cameroon. The Cameroon experience shares important lessons that may be helpful to PBF programs facing similar transitions in other countries.
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Burundi: Questions on the Financial Sustainability of Performance-Based Financing and Free Health Care

This document focuses on the financial sustainability of the strategy linking performance-based financing (PBF) and free health care (FHC) implemented nationwide in Burundi since 2010. It examines the financial resources invested by the government and its technical and financial partners to establish whether government resources alone can guarantee the financial sustainability of PBF-FHC or whether […]
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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 […]
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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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