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Brazil: Incentive Program for Family Health Performance Improvement (PIMESF) Implemented in Piripiri Municipality

Brazil has made significant strides in improving the organization and financing of its health system since the constitutional change establishing the right to health care in 1988. Government health financing was consolidated, the public delivery system was organized into a country-wide system (Unified Health System, or SUS), and programs such as the Basic Health Package […]
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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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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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More Choices for Women: Vouchers for Reproductive Health Services in Kenya and Uganda

This feature article describes how voucher programs for safe motherhood services and management of STIs in Uganda and Kenya are helping improve health outcomes for the poor. Voucher programs take time and investment to design and administer, but the evidence suggests they can increase access to essential services and enable facilities to be more responsive […]
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The Gambia’s Community-Based RBF Scheme: Contracting Communities to Boost Demand

The Maternal and Child Nutrition and Health Results Project (MCNHRP) of The Gambia uses RBF to directly address challenges related to maternal and child nutrition and health, including sanitation and hygiene. The MCNHRP uniquely combines a supply-side performance-based financing (PBF) mechanism with a community-based RBF mechanism to foster stronger links between communities and health facilities. […]
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