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Can We Expect Results-Based Financing to Improve Quality of Care?

Results-Based Financing (RBF) schemes in healthcare are premised on the notion that “paying for results” rather than for inputs is more likely to improve performance. But getting from that attractive hypothesis to program efforts that improve quality of care and outcomes at population scale—in the real world—is far from simple. The article offers an overview […]
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Coming Full Circle: How Health Worker Motivation and Performance in Results-Based Financing Arrangements Hinges on Strong and Adaptive Health Systems

This paper presents findings from a study which sought to understand why health workers in the results-based financing (RBF) arrangements in Zimbabwe reported being satisfied with the improvements in working conditions and compensation, but paradoxically reported lower motivation levels compared to those not working under RBF arrangements.
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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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Rewarding Provider Performance to Improve Quality and Coverage of Maternal and Child Health Outcomes. Zimbabwe Results-Based Financing Pilot Program: Evidence to Inform Policy and Management Decisions

This report reviews the comprehensive impact evaluation of the RBF pilot program implemented in Zimbabwe, officially known as the Health Sector Development Support Project. It seeks to present and analyze the impact evaluation results of the RBF pilot program that supports the Ministry of Health and Child Care (MOHCC) in its efforts to increase the […]
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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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