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,...

Background A motivated workforce is necessary to ensure the delivery of high quality health services. In developing countries, performance-based financing (PBF) is often employed to increase motivation by providing financial incentives linked to performance. However, given PBF schemes are usually funded by donors, their long-term financing is not always assured, and the effects of withdra...

Background Performance-based financing (PBF) is currently tested in many low- and middle-income countries as a health system strengthening strategy. One of the main mechanisms through which PBF is assumed to effect change is by motivating health workers to improve their service delivery performance. This article aims at a better understanding of such motivational effects of PBF. In partic...

Dear Sirs, Rusa et al. (2009a) accurately described the program that the Belgian Technical Cooperation (BTC) implemented on behalf of the Rwandan Ministry of Health (MOH) between 2005 and 2007 in Performance-based financing for better quality of services in Rwandan health centers: 3year experience . However, while it is limited to analysis of the BTC experience, the article gives the impression...

Drawing lessons from country study reports Cordaid/ HealthNet TPO experiences in PBF pilot projects in: Democratic Republic of Congo Tanzania Zambia Burundi Rwanda National PBF (retrospective study) Acknowledgements The Royal Tropical Institute of the Netherlands (KIT) would like to express sincere appreciation to all the people who contributed to this report and to all of the participants who ...

This paper seeks to systematically describe the length and content of quality checklists used in performance-based financing programmes, their similarities and differences, and how checklists have evolved over time. We compiled a list of supply-side, health facility-based performance-based financing (PBF) programmes in low- and lower middle-income countries based on a document review. We then s...

Background Despite increased access to treatment and reduced incidence, vertical transmission of HIV continues to pose a risk to maternal and child health in sub-Saharan Africa. Performance-based financing (PBF) directed at healthcare providers has shown potential to improve quantity and quality of maternal and child health services. However, the ways in which these PBF initiatives lead to impr...

BACKGROUND Although domestic HIV/AIDS financing is increasing, international HIV/AIDS financing has plateaued. Providing incentives for the health system (i.e. performance-based financing [PBF]) may help countries achieve more with available resources. We systematically reviewed effects of PBF on HIV/AIDS service delivery to inform WHO guidelines. METHODS PubMed, WHO Index Medicus, conference...

BACKGROUND Performance-based financing (PBF) has been implemented in a number of countries with the aim of transforming health systems and improving maternal and child health. This paper examines the effect of PBF on health workers' job satisfaction, motivation, and attrition in Zambia. It uses a randomized intervention/control design to evaluate before-after changes for three groups: intervent...

BACKGROUND In recent years, Performance Based Financing (PBF); a form of result based financing, has attracted a global attention in health systems in developing countries. PBF promotes autonomous health facilities, motivates and introduces financial incentives to motivate health facilities and health workers to attain pre-determined targets. To achieve this, the Tanzanian government through th...