Background A motivated workforce is necessary to ensure the delivery of high quality health services. In developing countries, performance-based financing (PBF) is often employed to increase motivation by providing financial incentives linked to performance. However, given PBF schemes are usually funded by donors, their long-term financing is not always assured, and the effects of withdra...

background performance-based financing (pbf) has been advanced as a solution to contribute to improving the performance of health systems in developing countries. this is the case in benin. this study aims to analyse how two pbf approaches, piloted in benin, behave during implementation and what effects they produce, through investigating how local stakeholders perceive the introduction of pbf,...

BACKGROUND Although domestic HIV/AIDS financing is increasing, international HIV/AIDS financing has plateaued. Providing incentives for the health system (i.e. performance-based financing [PBF]) may help countries achieve more with available resources. We systematically reviewed effects of PBF on HIV/AIDS service delivery to inform WHO guidelines. METHODS PubMed, WHO Index Medicus, conference...

Performance-based financing (PBF) is a mechanism by which health providers are paid on the basis of outputs or results delivered. A PBF program was implemented on the provision of HIV, prevention of mother-to child HIV transmission (PMTCT), and maternal/child health (MCH) services in two provinces of Mozambique. A retrospective case-control study design was used in which PBF provinces were matc...

Dear Sirs, Rusa et al. (2009a) accurately described the program that the Belgian Technical Cooperation (BTC) implemented on behalf of the Rwandan Ministry of Health (MOH) between 2005 and 2007 in Performance-based financing for better quality of services in Rwandan health centers: 3year experience . However, while it is limited to analysis of the BTC experience, the article gives the impression...

BACKGROUND Performance-based financing (PBF) has been implemented in a number of countries with the aim of transforming health systems and improving maternal and child health. This paper examines the effect of PBF on health workers' job satisfaction, motivation, and attrition in Zambia. It uses a randomized intervention/control design to evaluate before-after changes for three groups: intervent...

BACKGROUND Performance-based financing (PBF) strategies are promoted as a supply-side, results-based financing mechanism to improve primary health care. This study estimated the effects of Rwanda's PBF program on less-incentivized child health services and examined the differential program impact by household poverty. METHODS Districts were allocated to intervention and comparison for PBF imp...

Drawing lessons from country study reports Cordaid/ HealthNet TPO experiences in PBF pilot projects in: Democratic Republic of Congo Tanzania Zambia Burundi Rwanda National PBF (retrospective study) Acknowledgements The Royal Tropical Institute of the Netherlands (KIT) would like to express sincere appreciation to all the people who contributed to this report and to all of the participants who ...

This paper seeks to systematically describe the length and content of quality checklists used in performance-based financing programmes, their similarities and differences, and how checklists have evolved over time. We compiled a list of supply-side, health facility-based performance-based financing (PBF) programmes in low- and lower middle-income countries based on a document review. We then s...

BACKGROUND More than 30 countries in sub-Saharan Africa have introduced performance-based financing (PBF) in their healthcare systems. Yet, there has been little research on the process by which PBF was put on the national policy agenda in Africa. This study examines the policy process behind the introduction of PBF program in Cameroon. METHODS The research is an explanatory case study using ...