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Alignement of Performance-Based Financing in Health with Government Budget

Performance-based financing (PBF) is the transfer of funds to health facilities so they can provide a pre-agreed set of services according to appropriate standards of quality and administration. These initiatives have introduced a wide set of reforms, including in provider autonomy, access to financial services, flexibility on the utilization of funds, a performance orientation on […]
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Performance-based Financing through Government Systems

This slide deck presents a conceptual framework for how to think about aligning Performance-Based Financing (PBF) principles with Public Financial Management (PFM) structures using diagnostic questions based on the following pillars: autonomy and flexibility of spending, financial management capacity, unified payment system, and performance orientation and verification. It also presents some initial findings from an […]
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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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Cost-effectiveness analysis of the decentralized facility financing and performance-based financing program in Nigeria

Nigeria piloted decentralized facility financing (DFF) and performance-based financing (PBF) programs under the Nigeria State Health Investment Project (NSHIP), funded by the World Bank. It aimed to increase the utilization and quality of MCH services. Although many low- and middle-income countries have launched or piloted DFF and/or PBF like programs and conducted impact evaluation, very […]
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