Background The use of modern methods of contraception (MMC) as defined by the World Health Organization still remains a challenge in most of Sub-Saharan Africa. Performance Based Financing (PBF) home visit was introduced in 2012 to increase the use of those modern methods in the Kumbo East Health District (KEHD), Cameroon.We determined the utilization rates of MMC in areas in the KEHD with PBF ...

Burundi recently introduced two fundamental reforms to its health system: a district health system (DHS) and performance-based financing (PBF) of the healthcare facilities. The authors of this article set out to conduct a simultaneous trial on implementation of DHS and PBF. The assessment refers to the six building blocks of health systems proposed by the WHO, and demonstrates that PBF can eith...

BACKGROUND Financial incentives are widely used in performance-based financing (PBF) schemes, but their contribution to health workers' incomes and job motivation is poorly understood. Cambodia undertook health sector reform from the middle of 2009 and PBF was employed as a part of the reform process. OBJECTIVE This study examines job motivation for primary health workers (PHWs) under PBF ref...

Performance-based financing (PBF) programs are increasingly implemented in low and middle-income countries to improve health service quality and utilization. In April 2011, a PBF pilot program was launched in Boulsa, Leo and Titao districts in Burkina Faso with the objective of increasing the provision and quality of maternal health services. We evaluate the impact of this program using facilit...

Pay for performance (P4P) is defined as the transfer of money or material goods conditional on taking a measurable action or achieving a predetermined performance target (Eichler 2006). In recent years, P4P has received considerable attention as an innovative health system model to increase the use, quality and efficiency of health care services in lowand middle-income countries (LMIC). In addi...

Results-based financing (RBF) schemes-including performance based financing (PBF) and conditional cash transfers (CCT)-are increasingly being used to encourage use and improve quality of institutional health care for pregnant women in order to reduce maternal and neonatal mortality in low-income countries. While there is emerging evidence that RBF can increase service use and quality, little is...

Performance-Based Financing (PBF) is a promising approach to improve health system performance in developing countries, but there are concerns that it may inadequately address inequalities in access to care. Incentives for reaching the poor may prove beneficial, but evidence remains limited. We evaluated a system of targeting the poorest of society ('indigents') in a PBF programme in Cameroon, ...