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Improving Quality through Performance-Based Financing in District Hospitals in Rwanda between 2006 and 2010: A 5-year Experience

Since 2000 performance-based financing (PBF) made its way to sub-Saharan health systems in an attempt to improve service delivery. In Rwanda initial experiences in 2001 and 2002 led to a scaling up of the initiative to all health centers (HC) and district hospitals (DH). In 2008 PBF became national strategy.  PBF was introduced in Rwanda […]
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Alignment of Performance-Based Financing in Health with the Government Budget : A Principle-Based Approach

This paper develops a conceptual framework for how to think about aligning Performance-Based Financing (PBF) principles with Public Financial Management (PFM) structures; offers a set of diagnostic questions for an assessment; and helps guide an analyst through the process of developing a reform roadmap, considering country context. As a discussion paper, it also aims to […]
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Community Performance-Based Financing User Guide (English)

Performance-Based Financing is thoroughly embedded in the Rwandan Health System. It is practiced in health centers and district hospitals nationwide using common approaches. Ministry of Health Performance-Based Financing has started at the central ministerial level. Performance-Based Financing systems are being designed for the national Community Based Health Insurance system, and for the CDLS. A national […]
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A Taxonomy and Results from a Comprehensive Review of 28 Maternal Health Voucher Programs

The findings in this paper are intended to guide governments interested in maternal health voucher programs with recommendations for sustainable implementation and impact. The Evidence Summit undertook a systematic review of five financing strategies. This paper presents the methods and findings for vouchers, building on a taxonomy to catalogue knowledge about voucher program design and […]
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