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Economics and Ethics of Results-Based Financing for Family Planning: Evidence and Policy Implications

This paper was developed for World Bank task team leaders (TTLs) and teams designing results-based financing (RBF) programs in family planning (FP). It explores the rationale for introducing such incentives based on insights from classical and behavioral economics, to respond to supply- and demand-side barriers to using FP services. To help the reader understand why […]

October 14, 2021

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Transfer from International Non-Governmental Organizations to National Performance Purchasing Agencies: The Cameroon Experience

This article describes the transition of responsibilities and functions from international non-governmental organizations (NGO’s) to national performance purchasing agencies during the Performance-Based Financing (PBF) program scale-up in Cameroon. The Cameroon experience shares important lessons that may be helpful to PBF programs facing similar transitions in other countries.

October 8, 2021

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Pay For Performance in Health: A Framework and Evidence from the OECD and Selected Countries

This presentation from Richard Scheffler, University of California, Berkley Distinguished Professor of Health Economics and Public Policy, provides evidence from OECD and non-OECD countries on pay for performance, and highlights research designs for evaluating programs. From a World Bank meeting in February 2010.

October 8, 2021

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The Inescapable Question of Fairness In Pay-For-Performance Bonus Distribution: A Qualitative Study of Health Workers’ Experiences In Tanzania

During the last decade there has been a growing concern about the lack of results in the health sectors of many low income countries. Progress has been particularly slow in maternal- and child health. Prompted by the need to accelerate progress towards these health outcomes, pay-for- performance (P4P) schemes have been initiated in a number […]

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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Philippines - 2nd Women’s Health & Safe Motherhood (WHSM)

A combination of performance-based grants formed part of new government strategies to strengthen women’s health and safe motherhood services (WHSM) for disadvantaged women.

October 8, 2021

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Ensuring that the Poor Share Fully in the Benefits

If programs are undertaken without conscious attention to including disadvantaged groups, there are a priori reasons for suspecting that they will favor the better-off, thereby exacerbating inequalities. But such an outcome is far from inevitable. Many plausible approaches are available for directing benefits toward the poor; and several of these have proven effective often enough to deserve […]

October 8, 2021