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Health System Level Approaches to Addressing Quality of Care in Low- and Middle- Income Countries

This report serves as a discussion paper, and does not mean to be a thorough review of different health systems apporaches to quality of care. Instead, it aims to provide evidence of key approaches in order to foster discussion on quality improvement in low- and middle-income countries using health system level interventions that could supplement facility-based RBF […]
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Improving Quality through Performance-Based Financing in District Hospitals in Rwanda between 2006 and 2010: A 5-year Experience

Since 2000 performance-based financing (PBF) made its way to sub-Saharan health systems in an attempt to improve service delivery. In Rwanda initial experiences in 2001 and 2002 led to a scaling up of the initiative to all health centers (HC) and district hospitals (DH). In 2008 PBF became national strategy.  PBF was introduced in Rwanda […]
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Does Training on Performance-Based Financing Make a Difference in Performance and Quality of Health Care Delivery? Health Care Provider’s Perspective in Rungwe Tanzania

In recent years, Performance Based Financing (PBF); a form of result based financing, has attracted global attention in health systems in developing countries. PBF promotes autonomous health facilities, motivates and introduces financial incentives to motivate health facilities and health workers to attain pre-determined targets. To achieve this, the Tanzanian government through the Christian Social Services […]
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Rwanda: Can Bonus Payments Improve the Quality of Health Care?

Ensuring that women and children receive quality health care is a key to alleviating poverty, but in many developing countries, access to appropriate medi­cal care is limited. In recent years, policymakers and health experts have promoted the use of performance-based bonuses to motivate health-care workers to fol­low best practices and ensure that patients receive key […]
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How Performance-Based Financing Empowers the Community and Improves Access to Quality Care in Eastern and North-Western Cameroon

This note examines how implementing the community participation component of the PBF approach has contributed to improvements in the coverage, access and utilization of health services in North-Western (NW) and Eastern regions of Cameroon. This publication is the result of a capitalization process that took place in Cameroon in 2014/2015. The aim of capitalization is […]
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Introduction of Performance-Based Financing in Burundi Was Associated with Improvements in Care and Quality

Several governments in low- and middle-income countries have adopted performance-based financing to increase health care use and improve the quality of health services. We evaluated the effects of performance-based financing in the central African nation of Burundi by exploiting the staggered rollout of this financing across provinces during 2006–10.We found that performance-based financing increased the […]
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