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Basic Economics of Results-Based Financing in Health

RBF programs are not new. High-income countries with health systems as varied as Spain, Sweden, the United Kingdom and the United States all use rewards to hospitals, providers, and insurers for meeting volume and quality targets. International efforts to improve health in developing countries are increasingly exploring ways to improve results through material incentives under […]
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How You Pay Health Workers Matters: A Primer on Health Worker Remuneration Methods

The way doctors and nurses are paid can provide strong incentives for improving health worker productivity and quality of care—issues that are pertinent in many developing country health systems. In many low-income countries, health workers in the public sector receive most of their compensation in the form of a salary. This note provides a brief […]
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How to Contract: What Works and What Doesn’t

Summary for web of Section 3, pp. 19–66 in Performance-Based Contracting for Health Services in Developing Countries: A Toolkit by Benjamin Loevinsohn. This book was written to help bridge the yawning gap between many developing countries and the Development Goals for health. Right now, that gap looks daunting. But we can narrow the gap significantly by contracting, […]
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Health Results-Based Financing (RBF) in Practice: Ten Institutional Challenges

Health Results-Based Financing (HRBF) is a cash payment or non-monetary transfer made to a national or sub-national government, manager, provider, payer, or consumer of health services after pre-defined results have been achieved and verified. HRBF is one tool that can be used by governments to increase coverage of the population with high-impact interventions, such as […]
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Results-Based Financing for Health: The Science of Delivery in Action

There is a great deal of evidence of “what works” in global health. Translating this evidence into results, however, is a challenge and requires acute attention to its delivery or implementation. Effectively implementing evidence is an active process and requires a continuous cycle of learning. It is a science that involves the systematic identification and […]
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Mobilizing Multiple Voices for RBF Success: The Role of Stakeholder Consultations in Results-Based Financing

Stakeholder consultations, which are frequently Ministry of Health‐led, are an important component of RBF design and implementation. They provide opportunities for the individuals, groups, organizations and institutions involved in results-based financing (RBF) to participate in the decision‐making process and to express their opinions about the implementation of the new financing approach. The information collected during […]
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A Maternal Health Voucher Scheme: What Have We Learned from the Demand-side Financing Scheme in Bangladesh?

It is now more than 2 years since the Ministry of Health and Family Welfare of the Government of Bangladesh implemented the Maternal Health Voucher Scheme, a specialized form of demand-side financing programme. To analyze the early lessons from the scheme, information was obtained through semi-structured interviews with stakeholders at the sub-district level. The analysis […]
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