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Aid Fragmentation or Aid Pluralism? The Effect of Multiple Donors on Child Survival in Developing Countries, 1990–2010

While most policy-makers and researchers stress the negative impact of “aid fragmentation” on development outcomes in recipient countries, we argue that the greater diversity of perspectives entailed by higher multiplicity of donors can help select better policies. We hypothesize a U-shaped relationship: countries with a moderate number of donors fare better than countries with either […]
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The Single Contract in the Health Sector in the Democratic Republic of Congo 

This Knowledge and Learning Case Study focuses on the factors that either facilitated or inhibited the introduction, adoption and implementation of the single contract in Democratic Republic of Congo’s (DRC) to inform in-country implementation and expansion efforts as well as potential replication in other countries. Focusing on the intermediary level of DRC’s health system, it […]
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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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Political Economy of Direct Health Facility Financing in Tanzania

This Knowledge and Learning Case Study focuses on the political economy that led to the introduction, adoption, and implementation of Direct Health Facility Financing (DHFF) in Tanzania. It highlights lessons learned and challenges faced, and the unique steps taken to address them.
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Alignement of Performance-Based Financing in Health with Government Budget

Performance-based financing (PBF) is the transfer of funds to health facilities so they can provide a pre-agreed set of services according to appropriate standards of quality and administration. These initiatives have introduced a wide set of reforms, including in provider autonomy, access to financial services, flexibility on the utilization of funds, a performance orientation on […]
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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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