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Burundi: Questions on the Financial Sustainability of Performance-Based Financing and Free Health Care

This document focuses on the financial sustainability of the strategy linking performance-based financing (PBF) and free health care (FHC) implemented nationwide in Burundi since 2010. It examines the financial resources invested by the government and its technical and financial partners to establish whether government resources alone can guarantee the financial sustainability of PBF-FHC or whether […]
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Options Guide: Performance-Based Incentives to Strengthen Public Health Supply Chains – Version 1

Performance-based incentives (PBIs) aim to motivate all the people and teams who together comprise a public supply chain to work hard and perform their function well. PBI is an innovative approach that explicitly links financial investment to results. While the PBI concept seems relatively straightforward, the mechanics of its implementation need to be planned very […]
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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 […]
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Cambodia - Contracting Health Care Services for the Rural Poor

This brief is an overview of Cambodia’s efforts to reach the rural poor with health care services. In the mid-1990s, the country began an experiment of contracting NGOs to manage the public health care system at the district level in rural areas, with results that show that while all districts increased health service coverage rates, […]
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Encouraging Service Delivery to the Poor Does Money Talk When Health Workers Are Pro-Poor?

This study uses a novel lab-in-the-field experiment with health care workers in rural Burkina Faso to investigate how payment mechanisms can incentivize providers to deliver healthcare services to the poor.  Importantly, it provides evidence that the effect of bonuses depends on the extra effort needed to serve the poor, and second, that it depends on the […]
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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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