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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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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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