Paying for performance to improve the delivery of health interventions in low- and middle-income countries

Witter, Sophie; Fretheim, Atle; Kessy, Flora; Lindahl, Anne Karin

doi:10.1002/14651858.cd007899.pub2

Cited by 250 publications

(177 citation statements)

References 25 publications

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“…Following encouraging experiences in various countries, PBF in the health sector has now been adopted as pilots or national policy by many African countries and communities of practice have developed so as to share experiences and professionalise the business (4,5,(7)(8)(9). However, the jury is still out as for its impact (10)(11)(12), and numerous theoretical and empirical studies mention possible contradictory effects linked to the introduction of PBF in a complex system (13)(14)(15)(16). There is a growing amount of papers written on PBF, but a Cochrane systematic review of PBF in low and middle income countries points to the fact that more studies are necessary (11).…”

Section: Introductionmentioning

confidence: 99%

“…However, the jury is still out as for its impact (10)(11)(12), and numerous theoretical and empirical studies mention possible contradictory effects linked to the introduction of PBF in a complex system (13)(14)(15)(16). There is a growing amount of papers written on PBF, but a Cochrane systematic review of PBF in low and middle income countries points to the fact that more studies are necessary (11). Except for one case study in Uganda, most evaluations of PBF to date have been 'black box' studies, investigating the magnitude of the effects from PBF, in contrast to explaining how and why effects come about ('open-box') (15).…”

Section: Introductionmentioning

confidence: 99%

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Local stakeholders’ perceptions about the introduction of performance-based financing in Benin: a case study in two health districts

Paul

Sossouhounto

Eclou

2014

Int J Health Policy Manag

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Background: Performance-Based Financing (PBF) has been advanced as a solution to contribute to improving the performance of health systems in developing countries. This is the case in Benin. This study aims to analyse how two PBF approaches, piloted in Benin, behave during implementation and what effects they produce, through investigating how local stakeholders perceive the introduction of PBF, how they adapt the different approaches during implementation, and the behavioural interactions induced by PBF. Methods:The research rests on a socio-anthropological approach and qualitative methods. The design is a case study in two health districts selected on purpose. The selection of health facilities was also done on purpose, until we reached saturation of information. Information was collected through observation and semi-directive interviews supported by an interview guide. Data was analysed through contents and discourse analysis. Results: The Ministry of Health (MoH) strongly supports PBF, but it is not well integrated with other ongoing reforms and processes. Field actors welcome PBF but still do not have a sense of ownership about it. The two PBF approaches differ notably as for the organs in charge of verification. Performance premiums are granted according to a limited number of quantitative indicators plus an extensive qualitative checklist. PBF matrices and verification missions come in addition to routine monitoring. Local stakeholders accommodate theoretical approaches. Globally, staff is satisfied with PBF and welcomes additional supervision and training. Health providers reckon that PBF forces them to depart from routine, to be more professional and to respect national norms. A major issue is the perceived unfairness in premium distribution. Even if health staff often refer to financial premiums, actually the latter are probably too weak-and 'blurred'-to have a lasting inciting effect. It rather seems that PBF motivates health workers through other elements of its 'package' , especially formative supervisions. Conclusion:If the global picture is quite positive, several issues could jeopardise the success of PBF. It appears crucial to reduce the perceived unfairness in the system, notably through enhancing all facilities' capacities to ensure they are in line with national norms, as well as to ensure financial and institutional sustainability of the system.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Local stakeholders’ perceptions about the introduction of performance-based financing in Benin: a case study in two health districts

Paul

Sossouhounto

Eclou

2014

Int J Health Policy Manag

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“…Asimismo, diversas revisiones de evidencia advierten sobre el poco consenso sobre la efectivdad de diferentes esquemas de pagos por desempeño aplicados por Gobiernos para logros en salud (14,21,22) . Precisamente por ello, este estudio busca estimar el impacto promedio atribuible a la suscripción de los CAP sobre los indicadores que miden la cobertura de los servicios de salud priorizados y el estado nutricional de los niños menores de 5 años en las zonas en donde fue implementado entre 2010 y 2014.…”

Section: Holmstrom Y Milgronunclassified

Pagos por desempeño para mejorar estado nutricional infantil: impacto de los convenios de apoyo presupuestario en tres regiones peruanas con alta prevalencia de desnutrición cronica infantil, 2010-2014

Vega

2017

Rev Peru Med Exp Salud Publica

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Citar como: Cruzado de la Vega V. Pagos por desempeño para mejorar estado nutricional infantil: impacto de los convenios de apoyo presupuestario en tres regiones peruanas con alta prevalencia de desnutrición cronica infantil, [2010][2011][2012][2013][2014] RESUMENObjetivos. Estimar el impacto de un esquema de pago por desempeño, denominado convenios de apoyo presupuestario, aplicado por el Gobierno a las tres regiones con mayores tasas de desnutrición crónica infantil (DCI) en 2008, Apurimac, Ayacucho y Huancavelica, sobre indicadores de cobertura de servicios de cuidado infantil (vacunación, controles de crecimiento y desarrollo infantil, suplemento de hierro) y del estado nutricional del niño (desnutrición, anemia, diarrea). Mediante estos convenios se transferían recursos a los presupuestos de dichas regiones condicionados al cumplimiento de compromisos de gestión y metas de cobertura con el objetivo de mejorar el estado nutricional infantil. Materiales y métodos. A partir de los datos de la Encuesta Demográfica y de Salud Familiar de 2008 a 2014, se compara la evolución en los indicadores evaluados de una muestra de niños que residen en los ámbitos donde se suscribieron los convenios y una muestra de control, mientras los convenios estuvieron vigentes y en los años posteriores para reportar el estimador de diferencias en diferencias del impacto promedio de los convenios Resultados. se encuentran impactos positivos sobre el incremento de coberturas de vacunas del esquema básico y de la vacuna rotavirus y, a través de ellos, en la reducción de la ocurrencia de diarrea y desnutrición. Conclusiones. el esquema habría sido efectivo en activar la cadena mayor cobertura de vacunas y menor DCI, pero no parece mejorar la cobertura de otras prestaciones como las atenciones de crecimiento y desarrollo del niño y entrega de suplementos de hierro al niño y gestante. Palabras clave: Evaluación del impacto en la salud; Evaluación de programas y proyectos de salud; Reembolso de incentivo; Salud del niño; Transtornos de la nutrición del niño (fuente: DeCS BIREME). PAYMENT BY PERFORMANCE TO IMPROVE THE NUTRITIONAL STATUS OF CHILDREN: IMPACT OF BUDGET SUPPORT AGREEMENTS IN THREE PERUVIAN REGIONS WITH A HIGH PREVALENCE OF CHRONIC MALNUTRITION IN CHILDREN IN 2010-2014 ABSTRACTTo estimate the impact of a payment scheme by performance, known as a budget support agreement, applied by the government in three regions in Peru with the highest rates of chronic malnutrition (CM) in children in 2008-Apurimac, Ayacucho, and Huancavelica-on indicators of health service coverage (immunization, childhood growth and development, and iron supplementation) and the nutritional status of children (malnutrition, anemia, and diarrhea). These agreements were used to transfer resources to the budgets of these regions with the condition of fulfilling management commitments and coverage goals with a view toward improving the nutritional status of children. Materials and methods. Based on data from the Demographic and Family Health Survey conducted fro...

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“…We will add these databases when the review is updated.' (Witter et al 2012) Explanation -Equity-focused reviews often go beyond issues of health and bridge other disciplines and thus information sources. For equity-focused systematic reviews, sources of information beyond the well-known health databases may be required.…”

Section: Examplesmentioning

confidence: 99%

Extending the PRISMA statement to equity-focused systematic reviews (PRISMA-E 2012): explanation and elaboration

Welch

Petticrew

Petkovic

et al. 2016

Journal of Development Effectiveness

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Paying for performance to improve the delivery of health interventions in low- and middle-income countries

Abstract: Paying for performance to improve the delivery of health interventions in low-and middle-income countries (Review)

Cited by 250 publications

References 25 publications

Local stakeholders’ perceptions about the introduction of performance-based financing in Benin: a case study in two health districts

Local stakeholders’ perceptions about the introduction of performance-based financing in Benin: a case study in two health districts

Pagos por desempeño para mejorar estado nutricional infantil: impacto de los convenios de apoyo presupuestario en tres regiones peruanas con alta prevalencia de desnutrición cronica infantil, 2010-2014

Extending the PRISMA statement to equity-focused systematic reviews (PRISMA-E 2012): explanation and elaboration

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