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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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Basic Economics of Results-Based Financing in Health

RBF programs are not new. High-income countries with health systems as varied as Spain, Sweden, the United Kingdom and the United States all use rewards to hospitals, providers, and insurers for meeting volume and quality targets. International efforts to improve health in developing countries are increasingly exploring ways to improve results through material incentives under […]
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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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How to Contract: What Works and What Doesn’t

Summary for web of Section 3, pp. 19–66 in Performance-Based Contracting for Health Services in Developing Countries: A Toolkit by Benjamin Loevinsohn. This book was written to help bridge the yawning gap between many developing countries and the Development Goals for health. Right now, that gap looks daunting. But we can narrow the gap significantly by contracting, […]
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Health Results-Based Financing (RBF) in Practice: Ten Institutional Challenges

Health Results-Based Financing (HRBF) is a cash payment or non-monetary transfer made to a national or sub-national government, manager, provider, payer, or consumer of health services after pre-defined results have been achieved and verified. HRBF is one tool that can be used by governments to increase coverage of the population with high-impact interventions, such as […]
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Performance-Based Financing: Toolkit

What is performance- based financing (PBF)? Why is this used to finance health services in lower- and lower- middle- income countries? If practitioners want to introduce PBF in their country, how shall they do it? This toolkit addresses the questions what and why, while focusing on the answer to how it can be done. The […]
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