Performance-Based Contracting in Health : The Experience of Three Projects in Africa

Performance-Based Contracting in Health : The Experience of Three Projects in Africa

Performance-based contracting in health is an example of a results-based financing approach to improving health service delivery. In 2003 and 2004 the Global Partnership on Output-Based Aid (GPOBA) supported the design of three schemes using performance-based contracting in Uganda, the Democratic Republic of Congo, and Rwanda. GPOBA's technical assistance has led to three innovative projects funded by the World Bank and the Canadian International Development Agency (CIDA). This note reviews early lessons from these schemes.

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Bibliographic Details
Main Authors: Johannes, Lars, Mullen, Patrick, Okwero, Peter, Schneidman, Miriam
Language:English
Published: World Bank, Washington, DC 2008-04
Subjects:ACCESS TO HEALTH CARE, BASIC HEALTH SERVICES, BLOCK GRANT, BLOCK GRANTS, CAPITATION, COMPETITIVE BIDDING, DEATHS, DECISION MAKING, DISTRICTS, FAMILY PLANNING, FEE-FOR-SERVICE, FEE-FOR-SERVICE ARRANGEMENTS, FRAUD, HEALTH ADMINISTRATION, HEALTH CARE, HEALTH CARE SYSTEM, HEALTH CENTERS, HEALTH FACILITIES, HEALTH INFORMATION, HEALTH INFORMATION SYSTEM, HEALTH INSURANCE, HEALTH INTERVENTIONS, HEALTH RESULTS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICE DELIVERY, HEALTH SERVICE PROVISION, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH SYSTEM, HEALTH WORKERS, HOSPITAL BUDGETS, HOSPITALS, IMMUNIZATION, IMPACT EVALUATIONS, IMPROVEMENTS IN HEALTH, INCENTIVE SCHEMES, INNOVATION, INNOVATIONS, INTERVENTION, PATIENT, PATIENT SATISFACTION, PATIENT SATISFACTION SURVEYS, PATIENTS, PERFORMANCE INDICATORS, PRIMARY HEALTH CARE, PRIMARY HEALTH CARE SERVICES, PRIVATE HEALTH INSURANCE, PROVISION OF HEALTH SERVICES, PUBLIC HEALTH, SERVICE PROVIDERS, TARGETS, TECHNICAL ASSISTANCE, TECHNICAL COOPERATION, TECHNICAL SUPPORT, TELECOMMUNICATIONS, USER, VERIFICATION, WASTE, WORKERS,
Online Access:http://documents.worldbank.org/curated/en/2008/04/9656170/africa-performance-based-contracting-health-experience-three-projects
https://hdl.handle.net/10986/11020
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Summary:Performance-based contracting in health is an example of a results-based financing approach to improving health service delivery. In 2003 and 2004 the Global Partnership on Output-Based Aid (GPOBA) supported the design of three schemes using performance-based contracting in Uganda, the Democratic Republic of Congo, and Rwanda. GPOBA's technical assistance has led to three innovative projects funded by the World Bank and the Canadian International Development Agency (CIDA). This note reviews early lessons from these schemes.

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