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430 Results

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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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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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Rewarding Provider Performance to Improve Quality and Coverage of Maternal and Child Health Outcomes. Zimbabwe Results-Based Financing Pilot Program: Evidence to Inform Policy and Management Decisions

This report reviews the comprehensive impact evaluation of the RBF pilot program implemented in Zimbabwe, officially known as the Health Sector Development Support Project. It seeks to present and analyze the impact evaluation results of the RBF pilot program that supports the Ministry of Health and Child Care (MOHCC) in its efforts to increase the […]
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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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RBF Contribution to the Improvement of Quality of Care: Case of Burkina Faso

By Dr. Rita ZIZIEN, Dr. Watton Rodrigue DIAO, Dr. Oumar OUATTARA This paper looks at the quality scores obtained by RBF health facilities to determine the extent to which RBF contributes to improving the quality of care in Burkina Faso. Based on an analysis of the evolution of quality scores, coupled with a situational analysis, […]