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Introduction of Performance-Based Financing in Burundi Was Associated with Improvements in Care and Quality

Several governments in low- and middle-income countries have adopted performance-based financing to increase health care use and improve the quality of health services. We evaluated the effects of performance-based financing in the central African nation of Burundi by exploiting the staggered rollout of this financing across provinces during 2006–10.We found that performance-based financing increased the […]
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Contribution to Improving the Quality of Care: the Case of Burkina Faso

The pilot Results-Based Financning (RBF) project in Burkina Faso was launched on 26 December 2013. RBF purchases health worker results.  It pays subsidies for the quantity of services provided and provides a bonus for the quality of care, which is assessed at facility and community levels.  In this context, RBF differs from traditional financing strategies whereby the […]
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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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Innovative Financing for Health in Rwanda: A Report of Successful Reforms

Rwanda has been moving very rapidly to expand health service delivery. It has dramatically accelerated the trend of progress on health indicators, putting it back on track to reach the health Millennium Development Goals (MDGs). Three interrelated innovative reforms contributed to improvement: community-based health insurance, performance-based financing within a broader framework of reform of management […]
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Pay-for-Performance for Improved Health In Burundi

To increase utilization of health services and improve maternal and child health outcomes, Burundi is in the process of rolling out a publicly funded supply-side pay-for-performance (P4P) program nationwide consisting of payments to health facilities. Interesting features of this program include use of monthly quantity-related incentive payments (based on service utilization) and quarterly quality-related payments […]
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Identifying Indicators for Performance-Based Contracting (PBC) is Key: The Case of Liberia

As Performance-Based Contracting (PBC) focuses on results, the identification and selection of indicators is vital. Indicators can be defined as “a set of key measures that help you define and track progress towards your objectives”. Using indicators for monitoring projects or health systems development is not new; attaching a reward and/or sanction to their attainment, […]
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