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Impact of Results-Based Financing on Health Worker Satisfaction and Motivation in Zimbabwe

Given the paucity of evidence showing RBF’s effect on HRH outcomes, this study empirically tests the effect of RBF on health worker satisfaction and motivation in Zimbabwe (a front runner RBF-experimented country globally) through a quasi-experimental evaluation. We also attempt to understand the causal pathway of RBF’s influence on satisfaction and motivation. The results will […]
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Nigeria State Health Investment Project: A Mid-term Qualitative Study to Assess Implementation of NSHIP in Pilot States

This study examines the implementation fidelity of activities included in the Nigeria State Health Investment Project (NSHIP), including Performance-Based Financing (PBF) and Decentralized Facility Financing (DFF); exploring the behavioral changes brought about among health workers and within organizational structures and processes; and documenting the experiences of community members in accessing and using services from facilities receiving […]
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Performance-based Financing versus “Unconditional” Direct Facility Financing - False Dichotomy?

By Sophie Witter, Maria Paola Bertone, Karin Diaconu, and Olga Bornemisza A debate about how best to finance essential health care in low- and middle-income settings has been running for decades, with public health systems often failing to provide reliable and adequate funding for primary health care in particular. Since 2000, many have advocated and experimented with performance-based financing as […]
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Quality-Based Payment: Six Case Examples

The logic of paying more for high-quality care and less for low-quality resonates. Increasingly health system leaders worldwide acknowledge that payment reforms are needed to do just that, prompted no doubt by the growing body of evidence indicating that quality is not what it should be. This review was undertaken to explore contexts in which quality-based […]
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