Achieving Better Health Outcomes Through Innovative Strategies and Results-focused Interventions

Chansa, Collins; Sjöblom, Mirja; Vledder, Monique

doi:10.1093/acprof:oso/9780199660605.003.0016

Cited by 4 publications

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“…This review identified 14 studies that assessed such strategies. Of these, six studies found that the strategies were successful in improving immunization-related outcomes (63)(64)(65)(66)(67)69). These studies have been conducted in Haiti (66), Afghanistan (70), Rwanda (71)(72)(73), Burundi (63), Democratic Republic of Congo (69,74,75), Cameroon (65,68), Tanzania (67,76), and Zambia (64).…”

Section: Performance-based Financing As Standalone Strategymentioning

confidence: 99%

Interventions addressing routine childhood immunization and its behavioral and social drivers

Parsekar,

Vadrevu,

Jain

et al. 2024

Front. Public Health

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IntroductionDespite the advances in vaccination, there are still several challenges in reaching millions of children in low- and middle-income countries (LMICs). In this review, we present an extensive summary of the various strategies used for improving routine immunization in LMICs to aid program implementers in designing vaccination interventions.MethodsExperimental and quasi-experimental impact evaluations conducted in LMICs evaluating the effectiveness of interventions in improving routine immunization of children aged 0–5 years or the intermediate outcomes were included from 3ie’s review of systematic reviews. Some additional impact evaluation studies published in recent years in select LMICs with large number of unvaccinated children were also included. Studies were coded to identify interventions and the barriers in the study context using the intervention framework developed in 3ie’s Evidence Gap Map and the WHO’s Behavioral and Social Drivers (BeSD) of vaccination framework, respectively. Qualitative analysis of the content was conducted to analyze the intervention strategies and the vaccination barriers that they addressed.Results and conclusionOne hundred and forty-two impact evaluations were included to summarize the interventions. To address attitudinal and knowledge related barriers to vaccination and to motivate caregivers, sensitization and educational programs, media campaigns, and monetary or non-monetary incentives to caregivers, that may or may not be conditional upon certain health behaviors, have been used across contexts. To improve knowledge of vaccination, its place, time, and schedule, automated voice messages and written or pictorial messages have been used as standalone or multicomponent strategies. Interventions used to improve service quality included training and education of health workers and providing monetary or non-monetary perks to them or sending reminders to them on different aspects of provision of vaccination services. Interventions like effective planning or outreach activities, follow-up of children, tracking of children that have missed vaccinations, pay-for-performance schemes and health system strengthening have also been used to improve service access and quality. Interventions aimed at mobilizing and collaborating with the community to impact social norms, attitudes, and empower communities to make health decisions have also been widely implemented.

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Section: Performance-based Financing As Standalone Strategymentioning

confidence: 99%

Interventions addressing routine childhood immunization and its behavioral and social drivers

Parsekar,

Vadrevu,

Jain

et al. 2024

Front. Public Health

View full text Add to dashboard Cite

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Section: Performance-based Financing As Standalone Strategymentioning

confidence: 99%

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Results Based Financing in Zambia: Performance Evaluation and Exploration of Opportunities in Health System Adoption

Mayeya

Chitangala²

2021

JPRM

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Background–Results Based Financing has strategically fit into discussions of the Universal Health Coverage agenda at global level with the aim of meeting the Sustainable Development Goals. It has been viewed that Results Based Financing is a potent financing model and can be used as a strategic tool for remodeling the health systems in many developing countries as suggested by prior studies which argued that Results Based Financing implementation requires: (i) a strong management support and political will; (ii) maximum innovative efficiencies and willingness for change; and (iii) strengthened health management information and reporting systems. Therefore, this study aimed at understanding how Results Based Financing approaches can be scaled-up by exploring the Successes, Challenges and Opportunities of adopting it into the health system from its project form.Methods -A case study design was used for this research with a quantitativedata collection approach. Data was analyzed using SPSS version 22.Results-The Results Based Financingprogramme improved all the indicators targeted in Lunte District Health facilities. The successes of the project included improved quality of health care services and strengthened health system. A notable challenge for Results BasedFinancing implementers was poor performance of non-incentivized indicators compared with the incentivized. However, an opportunity was seen with the project in that other financing models were discussed to either mimic or simply use Results Based Financing tools, pool funds in one basket and apply the concept. Results Based Financing improved efficiency and effectiveness based on results that health facilities learnt how to manage funds, shown by 67% of respondents, and commitment to re-investment 60% of their bonuses back into the system.Conclusion-Results based financing can be regarded as a model for harmonizing other donor funds and drive forward the financial sustainability of being a successful financing strategy for the health sector

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Achieving Better Health Outcomes Through Innovative Strategies and Results-focused Interventions

Cited by 4 publications

References 0 publications

Interventions addressing routine childhood immunization and its behavioral and social drivers

Interventions addressing routine childhood immunization and its behavioral and social drivers

Table_1.DOCX

Results Based Financing in Zambia: Performance Evaluation and Exploration of Opportunities in Health System Adoption

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