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Contribution to Improving the Quality of Care: the Case of Burkina Faso

The pilot Results-Based Financning (RBF) project in Burkina Faso was launched on 26 December 2013. RBF purchases health worker results.  It pays subsidies for the quantity of services provided and provides a bonus for the quality of care, which is assessed at facility and community levels.  In this context, RBF differs from traditional financing strategies whereby the […]
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Can We Expect Results-Based Financing to Improve Quality of Care?

Results-Based Financing (RBF) schemes in healthcare are premised on the notion that “paying for results” rather than for inputs is more likely to improve performance. But getting from that attractive hypothesis to program efforts that improve quality of care and outcomes at population scale—in the real world—is far from simple. The article offers an overview […]
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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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