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Nigeria State Health Investment Project: A Mid-term Qualitative Study to Assess Implementation of NSHIP in Pilot States

This study examines the implementation fidelity of activities included in the Nigeria State Health Investment Project (NSHIP), including Performance-Based Financing (PBF) and Decentralized Facility Financing (DFF); exploring the behavioral changes brought about among health workers and within organizational structures and processes; and documenting the experiences of community members in accessing and using services from facilities receiving […]
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Positioning Nutrition with Universal Health Coverage : Optimizing Health Financing Levers

Achieving universal health coverage (UHC) is a top global priority, and nutrition actions are a critical part of meeting that goal. When delivered within key windows of opportunity to improve health throughout the life-course, essential nutrition actions play an important role in reducing the burden of disease and preventing permanent physical and cognitive impairments, ultimately […]
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Pay-for-performance in resource-constrained settings: Lessons learned from Thailand’s Quality and Outcomes Framework

In 2010, Thailand introduced the first pay-for-performance (P4P) programme, called on-top payment, in order to reduce variations in quality and accessibility of care provision by encouraging CUPs to improve infrastructure and staffing. Since this programme was criticised for not clearly contributing to the quality of services and health outcomes, it was replaced by the Quality and Outcomes Framework (QOF) in October […]
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RBF Contribution to the Improvement of Quality of Care: Case of Burkina Faso

By Dr. Rita ZIZIEN, Dr. Watton Rodrigue DIAO, Dr. Oumar OUATTARA This paper looks at the quality scores obtained by RBF health facilities to determine the extent to which RBF contributes to improving the quality of care in Burkina Faso. Based on an analysis of the evolution of quality scores, coupled with a situational analysis, […]
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Community Health Worker Incentives and Disincentives: How They Affect Motivation, Retention, and Sustainability

This paper examines the experience with using various incentives to motivate and retain community health workers (CHWs) serving primarily as volunteers in child health and nutrition programs in developing countries. It makes recommendations for more systematic use of multiple incentives based on an understanding of the functions of different kinds of incentives and emphasizes the […]
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