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35 Results

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Learning Lessons on Implementing Performance-Based Financing, from a Multi-Country Evaluation

This synthesis report explores the lessons learned on design, implementation and effects of financial incentives in the form of Performance Based Financing (PBF) in the health sector, as supported in Sub–Saharan Africa by the two Dutch NGO’s Cordaid and HealthNet TPO. Towards this aim a multi-country study was undertaken in 2008, led by the Royal […]
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Pay-for-performance in resource-constrained settings: Lessons learned from Thailand’s Quality and Outcomes Framework

In 2010, Thailand introduced the first pay-for-performance (P4P) programme, called on-top payment, in order to reduce variations in quality and accessibility of care provision by encouraging CUPs to improve infrastructure and staffing. Since this programme was criticized for not clearly contributing to the quality of services and health outcomes, it was replaced by the Quality […]
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Compensation models for community health workers: Comparison of legal frameworks across five countries

The five countries profiled represent possible archetypes for CHW compensation: Brazil (public), Ghana (volunteer-based), Nigeria (private), Rwanda (cooperatives with performance based incentives) and South Africa (hybrid public/private). Advantages and disadvantages of each model with respect to (i) CHWs, in terms of financial protection, and (ii) the health system, in terms of ease of implementation, are […]
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Health System Level Approaches to Addressing Quality of Care in Low- and Middle- Income Countries

This report serves as a discussion paper, and does not mean to be a thorough review of different health systems apporaches to quality of care. Instead, it aims to provide evidence of key approaches in order to foster discussion on quality improvement in low- and middle-income countries using health system level interventions that could supplement facility-based RBF […]
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Les Mécanismes de Financement Basé Sur Les Résultats Dans le Secteur de La Santé en Afrique

Principaux Messages Au cours des cinq dernières années, le financement basé sur les résultats pour la santé a été testé largement en Afrique comme un moyen prometteur d’oeuvrer à la couverture santé universelle. Les mécanismes de financement basé sur les résultats donnent de bons résultats, contribuant à étendre la couverture et à améliorer la qualité […]
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African Participation and Partnership in Performance-Based Financing: A Case Study in Global Health Policy

Participation is a key policy concept in global health, and relates to the ability of stakeholders to engage with and shape health policy at four intersecting levels: local, national, regional and global. Such engagement remains the key normative aim behind debates about furthering more equitable health diplomacy and has, as a result, been increasingly integrated into the agenda […]