Author/s: Winnie Chi-Man Yip, William Hsiao, Qingyue Meng, Wen Chen, Xiaoming Sun
This review in the Lancet shares lessons learned from China’s experiments with realignment of incentives for providers with the social goals of improvement in quality and efficiency. This realignment seeks to reverse the results from inappropriate incentives as part of China’s fee-for-service payment system, which resulted in rapid cost increases, inefficiencies, poor quality, unaffordable health care, and an erosion of medical ethics.
Author/s: Rena Eichler, Alix Beith, Barbara Seligman, and Jenna Wright
This paper identifies the opportunities as well as the challenges of incorporating family planning (FP) into Performance-based Incentives (PBI) approaches; discusses U.S. policies and support for enhancing access to FP; presents what is known about how low- and middle-income countries are including FP in PBI approaches and lessons learned; and provides suggestions for donors, policymakers, program implementers, and technical assistance providers about how to responsibly and effectively integrate FP into PBI programs in the developing world.
This brief is an overview of Cambodia’s efforts to reach the rural poor with health care services via the contracting of NGOs to manage the system. The MOH’s coverage plan, indicators, and the resulting benefits to the poor are included. Overall, the results suggest contracting primary health care may very effectively target health care services to the poor.
This brief (adapted from papers by David Coady, Deon Filmer, and Davidson Gwatkin) highlights the factors resulting in success for Mexico’s PROGRESA/Oportunidades, a conditional cash transfer (CCT) program. With success in reducing current poverty as well as improving the future of children through increased investment in their health and education, the program shows it is feasible to carry out a targeted CCT program on a very large scale even within poor isolated areas with few services.
This document is a report of Performance-Based Financing (PBF) within the Catholic Organisation for Relief and Development Aid (CORDAID): Overview of activities, October 2009.
CORDAID has implemented performance-based programmes in several countries and different contextual situations, ranging from very fragile (Sudan and Central African Republic) to stable (Tanzania, Zambia and Indonesia). The most important characteristics and approaches of all programmes are summarized.
In all health systems, providers must be paid for their services. That payment can come from two sources: directly from the individual patient, or from an organization paying on behalf of the patient—or some mix of the two. This note focuses on the second type of payer, described in this paper as a ‘strategic purchaser’ of health services, to distinguish it from the patient as a purchaser. This paper looks at the form that strategic purchasers take, how they can be held to account, and their autonomy.
Author/s: World Bank team led by Rafael Cortez, Senior Health Economist, LCSHH
From "En Breve," a regular series of notes highlighting recent lessons emerging from the operational and analytical program of the World Bank‘s Latin America and Caribbean Region. The December 2009 issue describes a results-based financing project in Argentina - Plan Nacer.