This article examines the effects of several RBF programs on health care purchasing functions in three fragile and post-conflict settings: Uganda, Zimbabwe and the Democratic Republic of Congo (DRC) over the past decade.
La couverture sanitaire universelle fait partie des objectifs de développement durable. Mais une couverture sans services de santé de qualité limite les avantages pour les populations. Les programmes de financement basés sur la performance (FBP) utilisent des achats stratégiques de services pour étendre la couverture et promouvoir la qualité en mesurant la qualité et en récompensant les bonnes performances.
This article describes four approaches that can help improve quality of health services at scale in PBF programs, looking at structural and process measures of quality as well as outcome measures like patient satisfaction and using three types of tools (i.e.
Authors: Jean-Benoit Falisse; Petra Vergeer; Joy Gebre Medhin; Maud Juquois; Alphonse Akpamoli; Jake Robyn; Walters Shu; Michel Zabiti; Rifat Hasan; Bakary Jallow; Musa Loum; Cedric Ndizeye; Michel Muvudi; Baudouin Booto; Jean Claude Taptue Fotso; Severin Sokegbe; Ibrahim Magazi; Gil Shapiro
There is a great deal of evidence of “what works” in global health. Translating this evidence into results, however, is a challenge and requires acute attention to its delivery or implementation.
Effectively implementing evidence is an active process and requires a continuous cycle of learning. It is a science that involves the systematic identification and analysis of the factors that affect implementation, and the series of actions that are taken to address them. Knowledge dissemination and sharing is also a part of this science— the science of delivery.
The health financing system in the Democratic Republic of Congo (DRC) presents an extreme example of low government investment, high dependency on user fees and poor harmonization across donors. Within this context, performance-based financing mechanisms are being implemented by various donors in the expectation that they will improve health worker motivation and service delivery performance.
This page contains links to the detailed designs of the HRITF-funded Impact Evaluations (those that are designed and approved).
Each country's sheet contains the date of last update.
In Health Affairs, authors Soeters, Peerenboom, Mushagalusa, and Kimanuka report the results of a performance-based payment experiment conducted in the Democratic Republic of Congo, which is one of the poorest countries in the world and has an extremely high level of child and maternal mortality.
The Haut-Katanga pilot program and impact evaluation described in this paper is intended to provide rigorous evidence, using a randomized intervention design, of the effects of a Performance-Based Financing (PBF) strategy in the difficult conditions of rural DRC. The pilot seeks to contribute to the national dialogue on PBF by analyzing the effects of the strategy on
(i) production of health services (quantity and quality),
(ii) management of the facility and behavior of health staff, and
(iii) behavior of households.