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Verification of Performance in Results-Based Financing (RBF): The Case of Afghanistan

Author

Listed:
  • Cheryl Cashin
  • Lisa Fleisher
  • Tawab Hashemi

Abstract

The Ministry of Public Health in Afghanistan implements a supply-side results-based financing (RBF) scheme to improve the provision of a standardized basic package of health services (BPHS) to its population. Contracting NGOs and “contracting-in” MOPH providers, this RBF program concentrates on high-priority maternal and child health services in the BPHS such as antenatal care (ANC), post-natal care (PNC), delivery care, nutrition, immunization coverage, tuberculosis (TB), as well as quality of care. It includes an intensive data verification method, focusing on both the quantity and the quality of delivered services, which was implemented between 2010 and 2013 by international third party organizations. This verification method was specifically used to ensure that providers reach performance thresholds and disburse performance payments. This case study describes the major characteristics of this RBF verification method. Taking stock of the experience of the MOPH, it aims at generating possible lessons for other RBF initiatives, thereby expanding knowledge and making RBF verification processes more efficient, sustainable and effective. This case study also responds to concerns about the future sustainability of RBF, particularly with regard to the intensive and external nature of verification.

Suggested Citation

  • Cheryl Cashin & Lisa Fleisher & Tawab Hashemi, 2015. "Verification of Performance in Results-Based Financing (RBF): The Case of Afghanistan," Health, Nutrition and Population (HNP) Discussion Paper Series 103694, The World Bank.
    • Handle: RePEc:wbk:hnpdps:103694
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    File URL: http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2016/03/03/090224b0841ce300/1_0/Rendered/PDF/Verification0o00case0of0Afghanistan.pdf
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    References listed on IDEAS

    as
    1. Tekabe A. Belay, 2010. "Building on Early Gains in Afghanistan's Health, Nutrition, and Population Sector : Challenges and Options," World Bank Publications - Books, The World Bank Group, number 2459, December.
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    Cited by:

    1. Elke Krahmann, 2017. "Legitimizing Private Actors in Global Governance: From Performance to Performativity," Politics and Governance, Cogitatio Press, vol. 5(1), pages 54-62.
    2. Naasegnibe Kuunibe & Julia Lohmann & Michael Schleicher & Jean‐Louis Koulidiati & Paul Jacob Robyn & Zambendé Zigani & Adama Sanon & Manuela De Allegri, 2019. "Factors associated with misreporting in performance‐based financing in Burkina Faso: Implications for risk‐based verification," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1217-1237, October.

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    More about this item

    Keywords

    health care providers; child health; communities; risks; data entry; e-mail; domains; health service delivery; reproductive health; supervision; equipment; villages; ... See More + uality of services; registries; financing; financial management; materials; antenatal care; income; under-five mortality; prevention; government funding; needs assessment; community health; information; services; monitoring; health care; privacy; copyright; incentives; health; partnership agreements; project; patient information; verification; information systems; health facilities; community participation; public health; life expectancy; quality of health; health sector; knowledge; health information systems; link; data; costs; training; immunization; patient; patients; performance indicators; intervention; health indicators; nurses; procurement process; access to health services; consultant; action plan; health workforce; material; tuberculosis; interview; mental health; mortality; capabilities; telephone; health information; design; transactions; project management; reliability; health specialist; procurement; inspection; contact information; financial transactions; patient satisfaction; results; description; knowledge base; participation; care; gender; health policy; homes; health outcomes; fax; household; decision making; institutional capacity; measurement; nutrition; confidentiality; quality control; queries; primary health care; internet; health results; health system; result; physicians; communicable diseases; pregnant women; children; security; privacy concerns; licenses; households; rural areas; health expenditure; performance; innovation; population; facilities; institution; personal safety; financial support; trainings; communication; community; strategy; registration; child health services; community involvement; database; hospitals; safety; health service; female; health services; implementation; pregnancy; target; service; health system strengthening; uses; user; financial reports;
    All these keywords.

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