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Argentina's Plan Nacer: Provincial Maternal and Child Health Insurance - A Results-Based Financing Project at Work

This December 2009 issue of En Breve describes a results-based financing project in Argentina – Plan Nacer. Plan Nacer is a provincial social insurance program providing a free basic package of cost-effective services to women and children through participating healthcare providers. The project uses an incentive mechanism between the National Ministry of Health and the Provincial Governments, and between […]
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Performance-Based Financing Strengthens Public-Private Partnerships in the Health Sector – a Case Study from the Littoral Region of Cameroon

This study in Cameroon examines how Performance-Based Financing (PBF), as a contracting approach, can reinforce private-public partnerships, enhance public health goals, and contribute to the goal of Universal Health Coverage. The research compares data from private–for-profit, faith-based and public health facilities contracted under PBF. It also looks at such indicators as the package of health […]
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How-to Manuals: Designing and Implementing Health Care Provider Payment Systems

This volume grows out of an initiative in the World Bank on resource allocation and purchasing (‘RAP’), which started in 2000, and continues to publish articles and books related to strategic purchasing. The initiative emerged from such questions in developing economies as: why do individuals need help in purchasing health services from providers? Is the […]
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Performance-Based Financing in Kenya: Motivating Health Workers and Spurring Change

Thanks to performance-based financing (PBF), changes are afoot at health facilities across Samburu, a semi-arid county in Kenya’s Rift Valley.  These changes are most visible in the freshly painted maternity rooms, the presence of suggestion boxes, and even in the flowerbeds out front. Less immediately visible, but vital, are the positive changes in the way […]
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How to Recruit and Retain Health Workers in Rural and Remote Areas in Developing Countries

Worldwide the geographical distribution of health workers is skewed towards urban and wealthier areas. This pattern is found in nearly every country in the world, regardless of the level of economic development and health system organization, but the problem is especially acute in developing countries. The geographical imbalances in the health workforce further exacerbate inequities […]
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Cost-Effectiveness of Health Systems Strengthening Interventions in Improving Maternal and Child Health in Low- and Middle-Income Countries: A Systematic Review

This report reviewed the cost-effectiveness of key health systems strengthening intentions, which includes results-based financing (RBF), voucher schemes, health insurance, personnel training, community mobilization, etc., with a total of 24 articles included in the review. Specifically on RBF, this report identified three studies on cost-effectiveness of the RBF programs, and the results showed that RBF […]
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