Send to friendIn Kenya, the non-governmental organization Marie Stopes Kenya (MSK) participates in a pay-for-performance scheme known as the Output-Based Approach (OBA) program. The program targets demand-side subsidized vouchers to poor women for a basic range of family planning and safe motherhood services and makes supply-side voucher reimbursements to accredited facilities, with the overall aim to reduce maternal and infant mortality.
Although only MSK services within the OBA pilot areas are accredited under the program, MSK services outside the pilot areas have also benefited from MSK program participation – MSK has diversified its funding resources, expanded its focus of family planning services to incorporate a wider range of contraceptive methods, and strengthened marketing for family planning services at the community level. This case study provides an example of a voucher program from the viewpoint of an accredited health service providers (MSK) and offers lessons learned for service providers that are considering participation in a voucher program.
From the Health System 20/20 P4P case study series, which profiles maternal and child health-oriented P4P programs in countries in Africa, Asia, and the Americas, and is intended to help those countries and donors already engaged in P4P to fine-tune their programs and those that are contemplating P4P to adopt such a program as part of their efforts to strengthen their health system and improve health outcomes.