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Positioning Nutrition with Universal Health Coverage : Optimizing Health Financing Levers

Achieving universal health coverage (UHC) is a top global priority, and nutrition actions are a critical part of meeting that goal. When delivered within key windows of opportunity to improve health throughout the life-course, essential nutrition actions play an important role in reducing the burden of disease and preventing permanent physical and cognitive impairments, ultimately […]
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Making the Case for Health: A Messaging Guide for Domestic Resource Mobilization

Making the Case for Health is a compilation of messages and related practical country examples that build off of the concept of HPHF, integrate human capital concepts, and can be used to facilitate communication across health and finance sectors to make the case for investment in health as a way to achieve health sector objectives, […]
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Pay-for-performance in resource-constrained settings: Lessons learned from Thailand’s Quality and Outcomes Framework

In 2010, Thailand introduced the first pay-for-performance (P4P) programme, called on-top payment, in order to reduce variations in quality and accessibility of care provision by encouraging CUPs to improve infrastructure and staffing. Since this programme was criticised for not clearly contributing to the quality of services and health outcomes, it was replaced by the Quality and Outcomes Framework (QOF) in October […]
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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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Community Health Worker Incentives and Disincentives: How They Affect Motivation, Retention, and Sustainability

This paper examines the experience with using various incentives to motivate and retain community health workers (CHWs) serving primarily as volunteers in child health and nutrition programs in developing countries. It makes recommendations for more systematic use of multiple incentives based on an understanding of the functions of different kinds of incentives and emphasizes the […]
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Compensation models for community health workers: Comparison of legal frameworks across five countries

The five countries profiled represent possible archetypes for CHW compensation: Brazil (public), Ghana (volunteer-based), Nigeria (private), Rwanda (cooperatives with performance based incentives) and South Africa (hybrid public/private). Advantages and disadvantages of each model with respect to (i) CHWs, in terms of financial protection, and (ii) the health system, in terms of ease of implementation, are […]
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