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Strengthening district health service management and delivery through internal contracting: Lessons from pilot projects in Cambodia

Following a decade of piloting different models of contracting, in mid-2009 the Cambodian Ministry of Health began to test a form of ‘internal contracting’ for health care delivery in selected health districts (including hospitals and health centers) contracted by the provincial health department as Special Operating Agencies (SOAs) and provided with greater management autonomy. This […]
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Pay-for-Performance for Improved Health In Burundi

To increase utilization of health services and improve maternal and child health outcomes, Burundi is in the process of rolling out a publicly funded supply-side pay-for-performance (P4P) program nationwide consisting of payments to health facilities. Interesting features of this program include use of monthly quantity-related incentive payments (based on service utilization) and quarterly quality-related payments […]
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Improving Health Worker Performance: The Patient-Perspective from a PBF Program in Rwanda

Over recent decades, paying healthcare providers against agreed performance targets has gained momentum in high income countries and more recently in low and middle income countries (LMIC). Poor performance in health systems is a worldwide concern and greater investment in the health sector do not necessarily translate to better health outcomes (World Health Organization, 2000). […]
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Capitation Combined with Pay-for-Performance Improves Antibiotic Prescribing Practices in Rural China

Pay-for-performance in health care holds promise as a policy lever to improve the quality and efficiency of care.  Although the approach has become increasingly popular in developing countries in recent years, most policy designs do not permit the rigorous evaluation of its impact. Thus, evidence of its effect is limited.   In collaboration with the government […]
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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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Performance-Based Financing (PBF) - The Forest, Not the Tree!

This presentation conveys information on how PBF is much more than a provider payment mechanism. It offers an opportunity for wider reforms. PBF can be a means: for greater accountability and responsiveness for health outcomes / technical efficiency to more allocative efficiency a means to health equity to resource mobilisation for health to public sector […]
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Performance-Based Contracting for Health Services in Developing Countries : A Toolkit

This toolkit provides practical advice to anyone involved in, or who is interested in becoming involved in, performance-based contracting of health services with non state providers in the context of developing countries. It addresses many of the issues that may be encountered. Input from experienced contracting professionals will give newcomers increased confidence as they go […]
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