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Coming Full Circle: How Health Worker Motivation and Performance in Results-Based Financing Arrangements Hinges on Strong and Adaptive Health Systems

This paper presents findings from a study which sought to understand why health workers in the results-based financing (RBF) arrangements in Zimbabwe reported being satisfied with the improvements in working conditions and compensation, but paradoxically reported lower motivation levels compared to those not working under RBF arrangements.
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Innovative Financing for Health in Rwanda: A Report of Successful Reforms

Rwanda has been moving very rapidly to expand health service delivery. It has dramatically accelerated the trend of progress on health indicators, putting it back on track to reach the health Millennium Development Goals (MDGs). Three interrelated innovative reforms contributed to improvement: community-based health insurance, performance-based financing within a broader framework of reform of management […]
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The Application of Social Impact Bonds to Universal Health-Care Initiatives in South-East Asia

Social impact bonds (SIBs) have the potential to improve the efficiency of government health-care spending in South-East Asia. In a SIB, governments sign a pay-for-performance contract with one or several providers of health-care services, and the providers borrow up-front capital from investors. Governments outside South-East Asia have started to experiment with SIBs in criminal justice, homelessness and health care. Governments […]
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Financial Incentives For Maternal Health: Impact of a National Programme in Nepal

Financial incentives are increasingly being advocated as an effective means to influence health-related behaviours. There is, however, limited evidence on whether they work in low-income countries, particularly when implemented at scale. This paper explores the impact of a national programme in Nepal that provides cash incentives to women conditional on them giving birth in a […]
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Policy Paper: Payment by Results Strategy: Sharpening Incentives to Perform

DFID is increasingly making use of Payment by Results. As the number of programmes grows, DFID needs a consistent approach and a clear way forward. This strategy sets out our objectives for the use of Payment by Results and the actions we will take to achieve these. Section 1 outlines the background to Payment by […]
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Plan Nacer: Enabling a Health Start for Babies Born into Poverty

In 2004, Government of Argentina launched Plan Nacer, supported by an adaptable loan from the World Bank (US$135.8 million). Plan Nacer provided a free basic package of cost-effective services to women and children through participating healthcare providers in the country’s nine poorest provinces. In 2006, the Program was expanded to the remaining fourteen provinces with […]
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