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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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Les Mécanismes de Financement Basé Sur Les Résultats Dans le Secteur de La Santé en Afrique

Principaux Messages Au cours des cinq dernières années, le financement basé sur les résultats pour la santé a été testé largement en Afrique comme un moyen prometteur d’oeuvrer à la couverture santé universelle. Les mécanismes de financement basé sur les résultats donnent de bons résultats, contribuant à étendre la couverture et à améliorer la qualité […]
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Does Results-Based Aid Change Anything? Pecuniary Interests, Attention, Accountability and Discretion in Four Case Studies

(L’aide basée sur les résultats change-t-elle les choses ? Intérêts pécuniaires, attention, redevabilité et discrétion dans quatre études de cas) Cet article étudie les programmes d’aide à l’étranger, connus comme l’aide basée sur les résultats (RBA), dans lesquels un gouvernement débourse des fonds à un autre pour atteindre un résultat. Au moins quatre théories sont […]
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African Participation and Partnership in Performance-Based Financing: A Case Study in Global Health Policy

Participation is a key policy concept in global health, and relates to the ability of stakeholders to engage with and shape health policy at four intersecting levels: local, national, regional and global. Such engagement remains the key normative aim behind debates about furthering more equitable health diplomacy and has, as a result, been increasingly integrated into the agenda […]
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TEDs Talks: Curing health care systems

The way healthcare is being delivered is broken in many countries. We don’t need new drugs or vaccines. We need to first cure the health care systems that deliver them. Ellen van de Poel brings a different view to health insurance, health care delivery, and health systems because of her research on the financing of […]
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Context matters (but how and why?) A hypothesis-led literature review of performance based financing in fragile and conflict-affected health systems

Performance-based financing (PBF) schemes have been expanding rapidly across low and middle income countries in the past decade, with considerable external financing from multilateral, bilateral and global health initiatives. Many of these countries have been fragile and conflict-affected (FCAS), but while the influence of context is acknowledged to be important to the operation of PBF, […]
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(How) does RBF strengthen strategic purchasing of health care? Comparing the experience of Uganda, Zimbabwe and the Democratic Republic of the Congo

Results-Based Financing (RBF) has proliferated in health sectors of low and middle income countries, especially fragile and conflict-affected ones, and has been presented as a way of reforming and  strengthening strategic purchasing. However, few studies have empirically examined how RBF impacts on health care purchasing in these settings. This article examines the effects of several […]
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