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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 […]
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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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Using Performance Incentives to Improve Medical Care Productivity and Health Outcomes

In this paper we provide evidence on the effect of incentives on provider productivity and on health outcomes in Rwanda, where we nested a prospective field experiment into the national rollout of a P4P incentive scheme. P4P affects health care provision in two ways; first, through incentives for providers to expend more effort in specific […]
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