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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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Monitoring Essential Health Services in Nigeria: State Profiles

Disruptions to essential health services have been estimated and shared at the national level since the start of the pandemic. This document represents the first attempt to demonstrate the impacts of COVID-19 on essential health services at the subnational level. The purpose of these state profiles is to facilitate conversations with policymakers and promote translation […]
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Quality-Based Payment: Six Case Examples

The logic of paying more for high-quality care and less for low-quality resonates. Increasingly health system leaders worldwide acknowledge that payment reforms are needed to do just that, prompted no doubt by the growing body of evidence indicating that quality is not what it should be. This review was undertaken to explore contexts in which quality-based […]
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Does Pay-for-Performance Benefit Patients With Multiple Chronic Conditions? Evidence from a Universal Coverage Health Care System

This study examines the effects of pay-for-performance mechanisms on health care provision, quality of care over time (continuity of care) and health care outcomes.  The research includes patients with diabetes who have been enrolled in a pay-for-performance program since 2005 as a part of the compulsory universal health insurance program in Taiwan.
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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 criticized for not clearly contributing to the quality of services and health outcomes, it was replaced by the Quality […]
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Effectiveness of Community Health Workers

Evidence supports Community Health Workers (CHWs) effectiveness in delivering a range of preventive, promotional and curative health services; reducing inequities in access to care; and supporting the empowerment of communities to demand social accountability from their governments and others to provide coverage of quality primary healthcare services. CHWs have the potential to contribute to the […]
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What do we know about community-based health worker programs? A systematic review of existing reviews on community health workers

We identified 122 reviews (75 systematic reviews, of which 34 are meta-analyses, and 47 non-systematic reviews). Eighty-three of the included reviews were from low- and middle-income countries, 29 were from high-income countries, and 10 were global. CHW programs included in these reviews are diverse in interventions provided, selection and training of CHWs, supervision, remuneration, and […]
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