Author/s: Paulin Basinga, Paul Gertler, Agnes Binagwaho, Agnes Soucat, Jennifer Sturdy, Christel Vermeersch
This Policy Research Working Paper published by the World Bank reports on a study that examines the impact of Pay for Performance (P4P) on maternal and child health services in Rwanda. It uses data produced from a prospective quasiexperimental evaluation design nested into the P4P program rollout. P4P had a large and significant positive impact on institutional deliveries and preventive care visits by young children, and improved quality of prenatal care.
If programs are undertaken without conscious attention to including disadvantaged groups, there are a priori reasons for suspecting that they will favor the better-off, thereby exacerbating inequalities. But such an outcome is far from inevitable.
This paper presents the findings of a review of 260 Health, Nutrition, and Population (HNP) projects with a health sector performance theme in order to understand the nature and extent of World Bank experience with RBF for Health.
