Lead Public Health Specialist, Africa Region
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There’s been considerable discussion about how costly PBF is and whether it provides value for money. How much money per capita is required for it to be successful? The common wisdom is that it takes about an additional 3 dollars per capita per year in a low-income country for PBF to be successful, but the justification for this amount is not particularly strong. There are very few studies which compare different levels of financing, so it’s difficult to know what would be required. Given all the other factors that can influence the success of PBF besides the pure incentive effect or the amount of money available at the health facility level, it’s not possible to be definitive about the amount needed. It may be that a dollar or $1.50 per capita per year might have a similar effect to $3. It may be that the smaller amounts are 80% as effective as investing twice as much.