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How-to Manuals: Designing and Implementing Health Care Provider Payment Systems

This volume grows out of an initiative in the World Bank on resource allocation and purchasing (‘RAP’), which started in 2000, and continues to publish articles and books related to strategic purchasing. The initiative emerged from such questions in developing economies as: why do individuals need help in purchasing health services from providers? Is the […]
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Performance-Based Financing in Kenya: Motivating Health Workers and Spurring Change

Thanks to performance-based financing (PBF), changes are afoot at health facilities across Samburu, a semi-arid county in Kenya’s Rift Valley.  These changes are most visible in the freshly painted maternity rooms, the presence of suggestion boxes, and even in the flowerbeds out front. Less immediately visible, but vital, are the positive changes in the way […]
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How to Recruit and Retain Health Workers in Rural and Remote Areas in Developing Countries

Worldwide the geographical distribution of health workers is skewed towards urban and wealthier areas. This pattern is found in nearly every country in the world, regardless of the level of economic development and health system organization, but the problem is especially acute in developing countries. The geographical imbalances in the health workforce further exacerbate inequities […]
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Cost-Effectiveness of Health Systems Strengthening Interventions in Improving Maternal and Child Health in Low- and Middle-Income Countries: A Systematic Review

This report reviewed the cost-effectiveness of key health systems strengthening intentions, which includes results-based financing (RBF), voucher schemes, health insurance, personnel training, community mobilization, etc., with a total of 24 articles included in the review. Specifically on RBF, this report identified three studies on cost-effectiveness of the RBF programs, and the results showed that RBF […]
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Cost-Effectiveness Analysis of Results-Based Financing Programs: A Toolkit

This toolkit aims to support country programs to assess the cost-effectiveness of RBF interventions and to facilitate cross-country comparisons of RBF programs. This is a companion tool to the Impact Evaluation Toolkit. It is important to note that this toolkit is not designed to replace valuable guidelines for the health sector as a whole. Rather, […]
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Demand-Side Financing for Sexual and Reproductive Health Services in Low and Middle-Income Countries

Demand-side financing approaches have been introduced in a number of low and middle-income countries, with a particular emphasis on sexual and reproductive health. This paper aims to bring together the global evidence on demand-side financing mechanisms, their impact on the delivery of sexual and reproductive health services, and the conditions under which they have been […]
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Zimbabwe's Urban Voucher Programme

In Zimbabwe, the City of Harare uses a demand-side voucher program to target the bottom 40 percent households for access to maternal and child health services. This urban component is part of Zimbabwe’s Results-Based Financing program and has already helped more than 2500 mothers gain access to health services that they would otherwise not be […]
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