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Financial Risk Protection from Social Health Insurance

This paper estimates the impact of social health insurance on financial risk by utilizing data from a natural experiment created by the phased roll-out of a social health insurance program for the poor in India. We estimate the distributional impact of insurance on of out-of-pocket costs and incorporate these results with a stylized expected utility […]

October 8, 2021

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Can Performance-Based Financing Help Reaching the Poor with Maternal and Child Health Services? The Experience of Rural Rwanda

More than 20 countries in Africa are scaling up performance-based financing (PBF), but its impact on equity in access to health services remains to be documented. This paper draws on evidence from Rwanda to examine the capacity of PBF to ensure equal access to key health interventions especially in rural areas where most of the […]

October 8, 2021

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Cambodia - Contracting Health Care Services for the Rural Poor

This brief is an overview of Cambodia’s efforts to reach the rural poor with health care services. In the mid-1990s, the country began an experiment of contracting NGOs to manage the public health care system at the district level in rural areas, with results that show that while all districts increased health service coverage rates, […]

October 8, 2021

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Does Training on Performance-Based Financing Make a Difference in Performance and Quality of Health Care Delivery? Health Care Provider’s Perspective in Rungwe Tanzania

In recent years, Performance Based Financing (PBF); a form of result based financing, has attracted global attention in health systems in developing countries. PBF promotes autonomous health facilities, motivates and introduces financial incentives to motivate health facilities and health workers to attain pre-determined targets. To achieve this, the Tanzanian government through the Christian Social Services […]

October 7, 2021

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Rwanda: Can Bonus Payments Improve the Quality of Health Care?

Ensuring that women and children receive quality health care is a key to alleviating poverty, but in many developing countries, access to appropriate medi­cal care is limited. In recent years, policymakers and health experts have promoted the use of performance-based bonuses to motivate health-care workers to fol­low best practices and ensure that patients receive key […]

October 7, 2021

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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 […]

October 7, 2021

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Quality of Care in Performance-Based Financing: How It Is Incorporated in 32 Programs Across 28 Countries

In this article, we review how 32 PBF programs in 28 countries integrate quality of care within the programs’ designs. Drawing on PBF program documents, we describe existing practice for how quality enters into the PBF payment formula, what quality indicators are being used, and how these measures are verified. This allows us to provide […]

October 6, 2021