The determinants of primary health facility performance in developing countries have not been well studied. One of the most under-researched areas is health facility management. This study investigated health facilities under the pilot performance-based financing (PBF) scheme in Nigeria, and aimed to understand which factors differentiated primary health care centres (PHCCs) which had performed...

BACKGROUND Malnutrition is a huge problem in Burundi. In order to improve the provision of services at hospital, health centre and community levels, the Ministry of Health is piloting the introduction of malnutrition prevention and care indicators within its performance based financing (PBF) scheme. Paying for units of services and for qualitative indicators is expected to enhance provision and...

BACKGROUND Inappropriate use of antibiotics is a global public health challenge and has been associated with antibiotic resistance. WHO reports show that efforts to promote rational antibiotic use in developing countries are poor. With the growing number of infections with antibiotic resistant bacteria, rational drug use becomes imperative and studies that promote rational drug use are highly n...

Background The predominant model of public health commodity supply chains in developing countries is one dominated by a central medical store (CMS). In this model, the CMS plays the pivotal role of procurement, storage and warehousing of all health commodities before they are distributed to the next level in the supply chain. Challenges with technical and organization capacity at the CMS level ...

Performance-based financing (PBF) programs have been introduced in numerous developing countries to increase the provision and quality of health services through financial incentives. Despite growing evidence about short-term impacts PBF, less is known medium-run scale-up effects, how PBF compares other approaches. In this paper, we extend initial evaluation Rwanda’s program identify effects in...

The governance and accountability arrangements for local government capital expenditures under the new Prudential Borrowing Framework (PBF) appear to adopt a much narrower set of evaluative and precautionary criteria than those of Public Private Partnerships and the Private Finance Initiative. The PBF seems to have been developed in complete ignorance of the critical accounting perspective and ...

Nowadays energy consumption problem is a major issue for data centers. The energy consumption increases significantly along with its CPU frequency getting higher. With Dynamic Voltage and Frequency Scaling (DVFS) techniques, CPU could be set to a suitable working frequency during the running time according to the workload. On the other side, reducing frequency implies that more servers will be ...