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41 Results

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Learning Lessons on Implementing Performance-Based Financing, from a Multi-Country Evaluation

This synthesis report explores the lessons learned on design, implementation and effects of financial incentives in the form of Performance Based Financing (PBF) in the health sector, as supported in Sub–Saharan Africa by the two Dutch NGO’s Cordaid and HealthNet TPO. Towards this aim a multi-country study was undertaken in 2008, led by the Royal […]
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Does Results-Based Aid Change Anything? Pecuniary Interests, Attention, Accountability and Discretion in Four Case Studies

(L’aide basée sur les résultats change-t-elle les choses ? Intérêts pécuniaires, attention, redevabilité et discrétion dans quatre études de cas) Cet article étudie les programmes d’aide à l’étranger, connus comme l’aide basée sur les résultats (RBA), dans lesquels un gouvernement débourse des fonds à un autre pour atteindre un résultat. Au moins quatre théories sont […]
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TEDs Talks: Curing health care systems

The way healthcare is being delivered is broken in many countries. We don’t need new drugs or vaccines. We need to first cure the health care systems that deliver them. Ellen van de Poel brings a different view to health insurance, health care delivery, and health systems because of her research on the financing of […]
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Basic Economics of Results-Based Financing in Health

RBF programs are not new. High-income countries with health systems as varied as Spain, Sweden, the United Kingdom and the United States all use rewards to hospitals, providers, and insurers for meeting volume and quality targets. International efforts to improve health in developing countries are increasingly exploring ways to improve results through material incentives under […]
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Health Results-Based Financing (RBF) in Practice: Ten Institutional Challenges

Health Results-Based Financing (HRBF) is a cash payment or non-monetary transfer made to a national or sub-national government, manager, provider, payer, or consumer of health services after pre-defined results have been achieved and verified. HRBF is one tool that can be used by governments to increase coverage of the population with high-impact interventions, such as […]
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Mobilizing Multiple Voices for RBF Success: The Role of Stakeholder Consultations in Results-Based Financing

Stakeholder consultations, which are frequently Ministry of Health‐led, are an important component of RBF design and implementation. They provide opportunities for the individuals, groups, organizations and institutions involved in results-based financing (RBF) to participate in the decision‐making process and to express their opinions about the implementation of the new financing approach. The information collected during […]
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Cost-effectiveness analysis of the decentralized facility financing and performance-based financing program in Nigeria

Nigeria piloted decentralized facility financing (DFF) and performance-based financing (PBF) programs under the Nigeria State Health Investment Project (NSHIP), funded by the World Bank. It aimed to increase the utilization and quality of MCH services. Although many low- and middle-income countries have launched or piloted DFF and/or PBF like programs and conducted impact evaluation, very […]