Learning lessons on implementing performance based financing from a multi-country evaluation
Synthesis report
J. Toonen | A. Canavan | P. Vergeer | R. Elovainio
The ‘Performance based financing’ approach (PBF) has received increasing attention in recent years. Those who are in favour of PBF support the hypothesis that enhanced productivity and quality of care depend on linking outputs to financial incentives. However, benefits of performance based financing are still inconclusive and there are suggestions that it is not sustainable, will not have a pro-poor effect, or that it may create perverse incentives. More extensive operational research and formative evaluations are needed to investigate both sides of the debate.
This synthesis report explores lessons learned on design, implementation and effects of financial incentives in the form of performance-based financing in the health sector, as supported in sub–Saharan Africa by two Dutch NGOs Cordaid and HealthNet. To uncover these lessons, a multi-country study was carried out, led by KIT, in collaboration with WHO Geneva and the implementing agencies in DR Congo, Burundi, Tanzania and Zambia. Rwanda was also visited to study scaling-up from pilot projects to a national programme.
KIT, Amsterdam | 43 p. | 2009 | English
Tags
health | monitoring and evaluation | service delivery