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Context matters (but how and why?) A hypothesis-led literature review of performance based financing in fragile and conflict-affected health systems

Performance-based financing (PBF) schemes have been expanding rapidly across low and middle income countries in the past decade, with considerable external financing from multilateral, bilateral and global health initiatives. Many of these countries have been fragile and conflict-affected (FCAS), but while the influence of context is acknowledged to be important to the operation of PBF, […]
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(How) does RBF strengthen strategic purchasing of health care? Comparing the experience of Uganda, Zimbabwe and the Democratic Republic of the Congo

Results-Based Financing (RBF) has proliferated in health sectors of low and middle income countries, especially fragile and conflict-affected ones, and has been presented as a way of reforming and  strengthening strategic purchasing. However, few studies have empirically examined how RBF impacts on health care purchasing in these settings. This article examines the effects of several […]
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How You Pay Health Workers Matters: A Primer on Health Worker Remuneration Methods

The way doctors and nurses are paid can provide strong incentives for improving health worker productivity and quality of care—issues that are pertinent in many developing country health systems. In many low-income countries, health workers in the public sector receive most of their compensation in the form of a salary. This note provides a brief […]
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Results-Based Financing for Health: The Science of Delivery in Action

There is a great deal of evidence of “what works” in global health. Translating this evidence into results, however, is a challenge and requires acute attention to its delivery or implementation. Effectively implementing evidence is an active process and requires a continuous cycle of learning. It is a science that involves the systematic identification and […]
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A Maternal Health Voucher Scheme: What Have We Learned from the Demand-side Financing Scheme in Bangladesh?

It is now more than 2 years since the Ministry of Health and Family Welfare of the Government of Bangladesh implemented the Maternal Health Voucher Scheme, a specialized form of demand-side financing programme. To analyze the early lessons from the scheme, information was obtained through semi-structured interviews with stakeholders at the sub-district level. The analysis […]
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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 […]
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How Performance-Based Financing Empowers the Community and Improves Access to Quality Care in Eastern and North-Western Cameroon

This note examines how implementing the community participation component of the PBF approach has contributed to improvements in the coverage, access and utilization of health services in North-Western (NW) and Eastern regions of Cameroon. This publication is the result of a capitalization process that took place in Cameroon in 2014/2015. The aim of capitalization is […]
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