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Positioning Nutrition within Universal Health Coverage: Optimizing Health Financing Levers

Achieving universal health coverage (UHC) is a top global priority, and nutrition actions are a critical part of meeting that goal. When delivered within key windows of opportunity to improve health throughout the life-course, essential nutrition actions play an important role in reducing the burden of disease and preventing permanent physical and cognitive impairments, ultimately […]
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Operationalizing Multisectoral Nutrition Programs to Accelerate Progress : A Nutrition Governance Perspective

Malnutrition continues to be one of the world’s most critical health and human development challenges, threatening countries’ Universal Health Coverage (UHC) goals and the achievement of the Sustainable Development Goals (SDGs). Given the complex, multifactorial, and interlinked determinants of nutritional status and well-being, multisectoral nutrition programming has been widely promoted as the most effective way […]
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Performance-based Financing versus “Unconditional” Direct Facility Financing - False Dichotomy?

By Sophie Witter, Maria Paola Bertone, Karin Diaconu, and Olga Bornemisza A debate about how best to finance essential health care in low- and middle-income settings has been running for decades, with public health systems often failing to provide reliable and adequate funding for primary health care in particular. Since 2000, many have advocated and experimented with performance-based financing as […]
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Quality-Based Payment: Six Case Examples

The logic of paying more for high-quality care and less for low-quality resonates. Increasingly health system leaders worldwide acknowledge that payment reforms are needed to do just that, prompted no doubt by the growing body of evidence indicating that quality is not what it should be. This review was undertaken to explore contexts in which quality-based […]
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Does Pay-for-Performance Benefit Patients With Multiple Chronic Conditions? Evidence from a Universal Coverage Health Care System

This study examines the effects of pay-for-performance mechanisms on health care provision, quality of care over time (continuity of care) and health care outcomes.  The research includes patients with diabetes who have been enrolled in a pay-for-performance program since 2005 as a part of the compulsory universal health insurance program in Taiwan.
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Can We Expect Results-Based Financing to Improve Quality of Care?

Results-Based Financing (RBF) schemes in healthcare are premised on the notion that “paying for results” rather than for inputs is more likely to improve performance. But getting from that attractive hypothesis to program efforts that improve quality of care and outcomes at population scale—in the real world—is far from simple. The article offers an overview […]
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Coming Full Circle: How Health Worker Motivation and Performance in Results-Based Financing Arrangements Hinges on Strong and Adaptive Health Systems

This paper presents findings from a study which sought to understand why health workers in the results-based financing (RBF) arrangements in Zimbabwe reported being satisfied with the improvements in working conditions and compensation, but paradoxically reported lower motivation levels compared to those not working under RBF arrangements.
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