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Improving Health Worker Performance: The Patient-Perspective from a PBF Program in Rwanda

Over recent decades, paying healthcare providers against agreed performance targets has gained momentum in high income countries and more recently in low and middle income countries (LMIC). Poor performance in health systems is a worldwide concern and greater investment in the health sector do not necessarily translate to better health outcomes (World Health Organization, 2000). […]
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How to Conduct a Discrete Choice Experiment for Health Workforce Recruitment and Retention in Remote and Rural Areas: A User Guide with Case Studies

This guide aims to provide easy-to-read information and step-by-step advice on a quantitative research method that can help identify appropriate policy responses to health workforce shortages in remote and rural areas. This method can provide policy makers with quantitative measures of the relative importance of different job characteristics that influence the choice of health workers for rural postings. The […]
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Performance-Based Financing Strengthens Public-Private Partnerships in the Health Sector – a Case Study from the Littoral Region of Cameroon

This study in Cameroon examines how Performance-Based Financing (PBF), as a contracting approach, can reinforce private-public partnerships, enhance public health goals, and contribute to the goal of Universal Health Coverage. The research compares data from private–for-profit, faith-based and public health facilities contracted under PBF. It also looks at such indicators as the package of health […]
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How-to Manuals: Designing and Implementing Health Care Provider Payment Systems

This volume grows out of an initiative in the World Bank on resource allocation and purchasing (‘RAP’), which started in 2000, and continues to publish articles and books related to strategic purchasing. The initiative emerged from such questions in developing economies as: why do individuals need help in purchasing health services from providers? Is the […]
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Turkey: Performance-Based Contracting Scheme in Family Medicine – Design and Achievements

Prior to 2003, health outcomes in Turkey, including maternal and child health outcomes, lagged behind those of Organization for Economic Co-operation and Development (OECD) countries and of those in other middle income countries. This report aims to add to this body of evidence through the conduct of a comprehensive review of the scheme within the […]
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Performance-Based Financing in Kenya: Motivating Health Workers and Spurring Change

Thanks to performance-based financing (PBF), changes are afoot at health facilities across Samburu, a semi-arid county in Kenya’s Rift Valley.  These changes are most visible in the freshly painted maternity rooms, the presence of suggestion boxes, and even in the flowerbeds out front. Less immediately visible, but vital, are the positive changes in the way […]
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