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Alignment of Performance-Based Financing in Health with the Government Budget : A Principle-Based Approach

This paper develops a conceptual framework for how to think about aligning Performance-Based Financing (PBF) principles with Public Financial Management (PFM) structures; offers a set of diagnostic questions for an assessment; and helps guide an analyst through the process of developing a reform roadmap, considering country context. As a discussion paper, it also aims to […]
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Community Performance-Based Financing User Guide (English)

Performance-Based Financing is thoroughly embedded in the Rwandan Health System. It is practiced in health centers and district hospitals nationwide using common approaches. Ministry of Health Performance-Based Financing has started at the central ministerial level. Performance-Based Financing systems are being designed for the national Community Based Health Insurance system, and for the CDLS. A national […]
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A Taxonomy and Results from a Comprehensive Review of 28 Maternal Health Voucher Programs

The findings in this paper are intended to guide governments interested in maternal health voucher programs with recommendations for sustainable implementation and impact. The Evidence Summit undertook a systematic review of five financing strategies. This paper presents the methods and findings for vouchers, building on a taxonomy to catalogue knowledge about voucher program design and […]
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Ten best resources on conditional cash transfers

This essay examines one particular aspect of these social safety net programmes: CCTs. CCT programmes are useful social programmes that have had demonstrable effects on many different populations. However, they are not a ‘magic bullet’ against poverty, and their image has suffered from unreasonable expectations of their impacts. This 10 best list is an ideal […]
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Targeting the Poorest in a Performance-Based Financing Program in Northern Cameroon

Performance-Based Financing (PBF) is a promising approach to improve health system performance in developing countries, but there are concerns that it may inadequately address inequalities in access to care. Incentives for reaching the poor may prove beneficial, but evidence remains limited. The authors of this article evaluated a system of targeting the poorest of society […]
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