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Use of Incentives in Health Supply Chains: A Review of Results-Based Financing in Mozambique’s Central Medical Store

This report reviews progress with a results-based financing (RBF) program in Mozambique aimed at strengthening the supply chain, specifically the performance of the Central Medical Store. Introduced in 2013 by USAID, the performance-based government-to-government grant conditions payment of quarterly tranches of funds to the Central Medical Store, (Central de Medicamentos e Artigos Medico [CMAM]), on […]

October 8, 2021

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Using Performance-Based Financing (PBF) to Motivate Health Commodity Supply Chain Improvement at A Central Medical Store in Mozambique

The predominant model of public health commodity supply chains in developing countries is one dominated by a central medical store (CMS). In this model, the CMS plays the pivotal role of procurement, storage and warehousing of all health commodities before they are distributed to the next level in the supply chain. Challenges with technical and […]

October 8, 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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Financial Risk Protection from Social Health Insurance

This paper estimates the impact of social health insurance on financial risk by utilizing data from a natural experiment created by the phased roll-out of a social health insurance program for the poor in India. We estimate the distributional impact of insurance on of out-of-pocket costs and incorporate these results with a stylized expected utility […]

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