Paying Primary Health Care Centers For Performance In Rwanda

Basinga, Paulin; Gertler, Paul; Soucat, Agnès; Binagwaho, Agnès; Sturdy, Jennifer; Vermeersch, Christel M. J.

doi:10.1596/1813-9450-5190

Cited by 26 publications

(8 citation statements)

References 32 publications

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“…Still from Table 6, there was no significant effect of supervision on the proportion of postpartum mothers who had their first ANC visit in the first trimester of their pregnancy which was also not significant after adjusting for level of education and number of previous pregnancies (Table 8). This was in line with a study in Rwanda which showed there was no significant effect of PBF on the chance of having first ANC visit in the first trimester with p=0.544 [24]. There was also significant difference assessing the effect of supervision on the number of ANC visits before delivery.…”

Section: Discussionsupporting

confidence: 90%

Effect of Performance-based Financing on the Coverage of Antenatal Care and Immunization Services in Buea Health District, Cameroon

Ekenja

Mbah

2020

IJTDH

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Introduction and Aim: Financing healthcare is a major factor in our society today which affects access to quality healthcare. The MDGs reached their deadline in 2015 but progress has been insufficient with reducing the morbidity and mortality rates of diseases. The healthcare system of Cameroon is characterized by low coverage for preventive care services. Innovative ways must be identified to fast track the coverage of MCH services. Lack of incentives affects the coverage of ANC and immunization services. The aim of this study was to assess the effect of PBF on the coverage of ANC and immunization services. Methods: An experimental study design was used and health facilities in the Buea Health District were randomly selected and assigned to one of four groups, three intervention groups (T1, C1 and C2) and one control group (C3). Using multistage sampling, a total of 434 postpartum mothers and 474 children participated in the study. An interviewer administered questionnaire was used and data was analyzed using EPI Info version 3.5.4 and STATA version 10.1 statistical software. Results: The mean age of the 434 postpartum mothers was 26.03. Supervision alone had significant effect on the four or more ANC visits (p=0.04). Both financing and supervision had statistically significant effect on the four or more ANC visits (p=0.003) and immunization. Financing and fixed per capita budgetary supplement did not have a significant effect on the coverage of ANC and immunization services. Conclusion: Both Financing and enforced supervision is necessary in order to improve the coverage of ANC and immunization services thus accelerating progress towards improving MCH.

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Section: Discussionsupporting

confidence: 90%

Effect of Performance-based Financing on the Coverage of Antenatal Care and Immunization Services in Buea Health District, Cameroon

Ekenja

Mbah

2020

IJTDH

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“…Several recent literature reviews assert that due to the limited number of rigorous studies of RBF the evidence base is weak to draw broad conclusions (Gorter et al, 2013;Oxman and Freheim, 2008;Witter et al, 2012). 4 Nevertheless, several recent studies with a strong design and use of statistical methods (Basinga et al, 2010;Basinga et al, 2011;Soeters et al, 2011;Huntington et al, 2010) strengthen a growing body of literature suggesting that RBF directed at service providers can have positive effects on quality of care and other variables.…”

Section: Rbf With Service Providers: Financial Incentivesmentioning

confidence: 99%

“…The qualitative and quantitative results shown in this report, although preliminary, are consistent with the findings found in the literature. In Belize, RBF directed at service providers has generated positive effects on quality of care, process and coverage indicators (Basinga, 2010;Basinga, 2011;Huntington, 2010;Soeters, 2011); 19 of 20 facilities met their QIF goals, and 19 of the 20 indicators measured all improved over the six-month period. Moreover, RBF alone was not responsible for the change as training, supervision, feedback and technical assistance complemented RBF improvements (Witter et al, 2012).…”

Section: Summary Of Findings and Conclusionmentioning

confidence: 99%

Quality Improvement of Health Care in Belize: Focusing on Results

Nelson,

Woodye,

Mac Arthur

2014

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Belize is participating in the Salud Mesoamerica 2015 Initiative (SM2015), a regional public-private partnership administered by the Inter-American Development Bank (IADB) and implemented by the eight Mesoamerican countries, which utilizes a results-based financing model with external verification of indicator values. Countries that reach their goals receive a portion of overall funding to apply in the health sector. The Ministry of Health of Belize and IADB have carefully aligned SM2015 country and local level goals through a Quality Innovation Fund (QIF), complemented by technical assistance for collaborative improvement, purchase of inputs and revitalization of the community health platform. Preliminary results from the QIF indicate an increase in coverage and quality of services achieved in as little of six months, through monthly monitoring and small, targeted investments designed by health facility staff. This experience has provided valuable qualitative and quantitative data regarding progress of the program, in addition to important lessons for future operations.

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“…Even in decentralised health care systems, efficient performance of health facilities providing primary health care services is often limited by problems that arise in managing financial resources, such as delays in disbursement of funds and difficulties in complying with budgetary guidelines. [1][2][3][4][5][6] Efficiency of health systems is a key topic that requires continuous exploration, specifically in low-and middle-income countries (LMICs) given the scarcity of financial resources. [7][8][9] Direct Health Facility Financing (DHFF) is a financial disbursement approach that aims to improve efficiency and accountability in primary health care centres and similar health facilities.…”

Section: Introductionmentioning

confidence: 99%

Acceptability of the Direct Health Facility Financing (DHFF) initiative in Tanzania: A mixed methods process evaluation of the moderating factors

Kalolo¹,

Kapologwe

Samky³

et al. 2021

Health Planning & Management

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Despite wide agreement that stakeholder acceptability plays a critical role in an intervention's effectiveness, gaps remain on understanding acceptability of complex health financing interventions. We aimed to understand the moderators of acceptability of the Direct Health Facility Financing (DHFF) initiative across primary health facilities in Tanzania.Employing a mixed methods approach and guided by the theoretical framework for acceptability (TFA), we collected data from implementers and their supervisors using a structured questionnaire and semi-structured interview guides. We analysed data using a chi square test, logistic regression, and thematic analysis. We recruited 238 participants, of whom 71% were females and 54% were below 37 years old.

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Paying Primary Health Care Centers For Performance In Rwanda

Cited by 26 publications

References 32 publications

Effect of Performance-based Financing on the Coverage of Antenatal Care and Immunization Services in Buea Health District, Cameroon

Effect of Performance-based Financing on the Coverage of Antenatal Care and Immunization Services in Buea Health District, Cameroon

Quality Improvement of Health Care in Belize: Focusing on Results

Acceptability of the Direct Health Facility Financing (DHFF) initiative in Tanzania: A mixed methods process evaluation of the moderating factors

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