Exploring the potential for using results-based financing to address non-communicable diseases in low- and middle-income countries

Abstract

BackgroundThe burden of disease due to non-communicable diseases (NCDs) is rising in low- and middle-income countries (LMICs) and funding for global health is increasingly limited. As a large contributor of development assistance for health, the US government has the potential to influence overall trends in NCDs. Results-based financing (RBF) has been proposed as a strategy to increase aid effectiveness and efficiency through incentives for positive performance and results in health programs, but its potential for addressing NCDs has not been explored.MethodsQualitative methods including literature review and key informant interviews were used to identify promising RBF mechanisms for addressing NCDs in resource-limited settings. Eight key informants identified by area of expertise participated in semi-structured interviews.ResultsThe majority of RBF schemes to date have been applied to maternal and child health. Evidence from existing RBF programs suggests that RBF principles can be applied to health programs for NCDs. Several options were identified for US involvement with RBF for NCDs.ConclusionThere is potential for the US to have a significant impact on NCDs in LMICs through a comprehensive RBF strategy for global health. RBF mechanisms should be tested for use in NCD programs through pilot programs incorporating robust impact evaluations.

Design of an impact evaluation using a mixed methods model – an explanatory assessment of the effects of results-based financing mechanisms on maternal healthcare services in Malawi

“…Impact evaluations serve multiple purposes: to create empirical evidence, to advise project management, to guide policy decisions, and to inform budget allocations [ 59 ]. The recent promotion of PBI schemes represents a good example of how an innovative policy in health systems development – although scientifically backed-up by only meager evidence – receives a lot of attention from implementing organizations, national health policy makers, and international funding agencies [ 60 , 61 ]. To tap into existing knowledge and to generate stronger evidence are the goals of this impact evaluation.…”

Does training on performance based financing make a difference in performance and quality of health care delivery? Health care provider’s perspective in Rungwe Tanzania

“…Preliminary results from the P4P pilot project have shown some promising results [ 17 , 18 ]. However currently, there is no official health financing policy or guidelines on result-based financing, including PBF in Tanzania [ 12 , 19 , 20 ]. It is noteworthy to mention that there is still an ongoing debate among policy makers in Tanzania on whether P4P is synonymous to PBF or not, with others perceiving PBF as an extreme version of the new public management philosophy, which advocates for a series of changes in the organization and management of public sector, including health [ 21 ].…”

Fifteen-Year Prevalence, Trajectories, and Predictors of Body Dissatisfaction From Adolescence to Middle Adulthood

“…Body dissatisfaction also predicts overweight/obesity (Haines, Neumark-Sztainer, Wall, & Story, 2007; Loth, Watts, van den Berg, & Neumark-Sztainer, 2015; van den Berg & Neumark-Sztainer, 2007). In addition, body dissatisfaction longitudinally predicts other psychological concerns, such as low self-esteem (Paxton, Neumark-Sztainer, Hannan, & Eisenberg, 2006), depressive symptoms (Holsen, Kraft, & Røysamb, 2001), and suicidal ideation (Kim & Kim, 2009), and is concurrently associated with impairment in health-related and subjective quality of life (Mond et al, 2013) and functional impairment in domains of work, home, and social relationships (Mond & Hay, 2007).…”