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Improving Quality through Performance-Based Financing in District Hospitals in Rwanda between 2006 and 2010: A 5-year Experience

Since 2000 performance-based financing (PBF) made its way to sub-Saharan health systems in an attempt to improve service delivery. In Rwanda initial experiences in 2001 and 2002 led to a scaling up of the initiative to all health centers (HC) and district hospitals (DH). In 2008 PBF became national strategy.  PBF was introduced in Rwanda […]
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Ten best resources on conditional cash transfers

This essay examines one particular aspect of these social safety net programmes: CCTs. CCT programmes are useful social programmes that have had demonstrable effects on many different populations. However, they are not a ‘magic bullet’ against poverty, and their image has suffered from unreasonable expectations of their impacts. This 10 best list is an ideal […]
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Targeting the Poorest in a Performance-Based Financing Program in Northern Cameroon

Performance-Based Financing (PBF) is a promising approach to improve health system performance in developing countries, but there are concerns that it may inadequately address inequalities in access to care. Incentives for reaching the poor may prove beneficial, but evidence remains limited. The authors of this article evaluated a system of targeting the poorest of society […]
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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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Using Performance-Based Financing (PBF) to Motivate Health Commodity Supply Chain Improvement at A Central Medical Store in Mozambique

The predominant model of public health commodity supply chains in developing countries is one dominated by a central medical store (CMS). In this model, the CMS plays the pivotal role of procurement, storage and warehousing of all health commodities before they are distributed to the next level in the supply chain. Challenges with technical and […]
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The Inescapable Question of Fairness In Pay-For-Performance Bonus Distribution: A Qualitative Study of Health Workers’ Experiences In Tanzania

During the last decade there has been a growing concern about the lack of results in the health sectors of many low income countries. Progress has been particularly slow in maternal- and child health. Prompted by the need to accelerate progress towards these health outcomes, pay-for- performance (P4P) schemes have been initiated in a number […]
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