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Building High-Quality Health Systems to Improve Nutrition Services for Women and Children : Policy and Implementation Considerations

This brief provides an overview of a high-quality health systems approach for improved nutrition outcomes. It also gives examples of how the World Bank and Global Financing Facility (GFF) have supported country-led efforts and country leadership in health system strengthening and explains how these investments are helping countries lay some of the needed foundations for […]
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The Three-Gap Model of Health Worker Performance

The Three-Gap Model examines the determinants of low-quality health care by examining the patterns and determinants of three gaps. Using four measures of perfor­mance—target performance, actual performance, capacity to perform, and knowledge to perform—this paper defines three gaps for each health worker: the gap between target performance and what they have the knowledge to do […]
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Competent and defcient provision of childbirth services: a descriptive observational study assessing the quality of intrapartum care in two provinces of the Democratic Republic of the Congo

Background: A majority of women in the Democratic Republic of the Congo (DRC) give birth in a health facility, but maternal and newborn mortality remains high. In rural areas, the quality of facility-based delivery care is often low. This study examines clinical quality of intrapartum care in two provinces of the DRC. Methods: We observed […]
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Improving Quality of Nutrition Services in Indonesia’s Health Sector

This report analyzes the opportunities to improve the quality of frontline nutrition interventions in Indonesia’s health sector as an element of achieving the National Strategy to Accelerate Stunting Prevention (2018–2021) (StraNas Stunting) goals. It uses a framework adapted from the Lancet Global Health Commission’s report on HighQuality Health Systems in the  sustainable Development Goals Era, which […]
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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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