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Results-Based Financing’s Impact on Human Resources for Health in Zambia

Results-based financing (RBF) has been implemented in low- and middle income countries with the aim of transforming health systems and achieving Millennium Development Goals 4 and 5. However, there is a dearth of empirical evidence on the impact of RBF-facility financing and provider incentives on performance related factors such as health workers  satisfaction, motivation, productivity, […]

February 1, 2022

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Impact of Results-Based Financing on Health Worker Satisfaction and Motivation in Zimbabwe

Given the paucity of evidence showing RBF’s effect on HRH outcomes, this study empirically tests the effect of RBF on health worker satisfaction and motivation in Zimbabwe (a front runner RBF-experimented country globally) through a quasi-experimental evaluation. We also attempt to understand the causal pathway of RBF’s influence on satisfaction and motivation. The results will […]

February 1, 2022

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Qualitative Research to Explain and Unpack Quantitative Findings from the Performance-Based Financing Impact Evaluation in Burkina Faso

Performance-based Financing (PBF) was first introduced to the health sector in Burkina Faso in 2011, and scaled up to a total of 15 out of 63 health districts in 2014. The scale-up was accompanied by a robust impact evaluation to determine the effects of PBF on the utilization and quality of health services, which was […]

February 1, 2022

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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 […]

February 1, 2022

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Towards sustainability of RBF in the health sector – learning from experience in high and middle income countries

Results based financing (RBF) approaches have grown in number, geographical coverage and type over the past 15 years in low and middle income countries (LMICs). They remain however largely dependent on external support, financial and technical, and to a large extent operating as parallel programs. The aim of this paper was to draw on experiences […]

February 1, 2022

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Learning Exchange: Central African Republic's Mission in Ethiopia

This report summarizes the findings and lessons learned of a learning mission conducted the Central African Republic in Ethiopia.

January 31, 2022

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Quality of Care in Performance-Based Financing: How It Is Incorporated in 32 Programs Across 28 Countries

Structural aspects of quality such as equipment and infrastructure were the most frequently measured, with some measurement of processes of clinical care. Further examination is warranted to assess whether variations in how quality of care is incorporated into performance-based financing programs lead to differential effects.

December 9, 2021