Performance-Based Financing, Basic Packages of Health Services and User-Fee Exemption Mechanisms

An Analysis of Health-Financing Policy Integration in Three Fragile and Conflict-Affected Settings


E Jacobs, N Akwataghibe , J Toonen, M.P Bertone, S Witter

As performance-based financing (PBF) is increasingly implemented across sub-Saharan Africa, some authors have suggested that it could be a ‘stepping stone’ for health-system strengthening and broad health-financing reforms. However, so far, few studies have looked at whether and how PBF is aligned to and integrated with national health-financing strategies, particularly in fragile and conflict-affected settings.