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Results-based financing: evidence from performance-based financing in the health sector

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  • Grittner, Amanda Melina

Abstract

Results-based approaches have been a focus of recent discussions in international development. This paper discusses if performance-based financing (PBF) can make foreign and domestic funding in the health sector more effective. It studies the experiences and data from PBF programmes in 13 developing countries in Africa, Asia and South America and evaluates their targeting mechanisms, incentive structure, effectiveness and efficiency. It finds that PBF may improve the effectiveness of healthcare supply and healthcare coverage, but that more monitoring and research are needed to evaluate its full potential. In the future research agenda, efforts should particularly focus on investigating the incentive structure of RBF more thoroughly – including non-monetary and perverse incentives –, on evaluating the effectiveness and efficiency of schemes more rigorously, and on studying the long-term effects of RBF.

Suggested Citation

  • Grittner, Amanda Melina, 2013. "Results-based financing: evidence from performance-based financing in the health sector," IDOS Discussion Papers 6/2013, German Institute of Development and Sustainability (IDOS).
    • Handle: RePEc:zbw:diedps:62013
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    File URL: https://www.econstor.eu/bitstream/10419/199392/1/die-dp-2013-06.pdf
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    Cited by:

    1. Martin Chalkley & Andrew J. Mirelman & Luigi Siciliani & Marc Suhrcke & Peter Berman, 2020. "Paying for Performance for Health Care in Low- and Middle-Income Countries: An Economic Perspective," World Scientific Book Chapters, in: Paul Revill & Marc Suhrcke & Rodrigo Moreno-Serra & Mark Sculpher (ed.), Global Health Economics Shaping Health Policy in Low- and Middle-Income Countries, chapter 6, pages 157-190, World Scientific Publishing Co. Pte. Ltd..
    2. Iwona Bisaga & Long Seng To, 2021. "Funding and Delivery Models for Modern Energy Cooking Services in Displacement Settings: A Review," Energies, MDPI, vol. 14(14), pages 1-19, July.
    3. Charbel El Bcheraoui & Erin B Palmisano & Emily Dansereau & Alexandra Schaefer & Alexander Woldeab & Maziar Moradi-Lakeh & Benito Salvatierra & Bernardo Hernandez-Prado & Ali H Mokdad, 2017. "Healthy competition drives success in results-based aid: Lessons from the Salud Mesoamérica Initiative," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-17, October.
    4. Minasyan, Anna, 2018. "Evidence-based allocation in global health: lessons learned for Germany," IDOS Discussion Papers 4/2018, German Institute of Development and Sustainability (IDOS).
    5. Janus, Heiner & Holzapfel, Sarah, 2016. "Results-based approaches in agriculture: what is the potential?," IDOS Discussion Papers 25/2016, German Institute of Development and Sustainability (IDOS).
    6. Susann Stritzke & Carlos Sakyi-Nyarko & Iwona Bisaga & Malcolm Bricknell & Jon Leary & Edward Brown, 2021. "Results-Based Financing (RBF) for Modern Energy Cooking Solutions: An Effective Driver for Innovation and Scale?," Energies, MDPI, vol. 14(15), pages 1-39, July.
    7. 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.
    8. Gautier, Lara & Tosun, Jale & De Allegri, Manuela & Ridde, Valéry, 2018. "How do diffusion entrepreneurs spread policies? Insights from performance-based financing in Sub-Saharan Africa," World Development, Elsevier, vol. 110(C), pages 160-175.
    9. Ali H Mokdad & Erin B Palmisano & Paola Zúñiga-Brenes & Diego Ríos-Zertuche & Casey K Johanns & Alexandra Schaefer & Sima S Desai & Annie Haakenstad & Marielle C Gagnier & Claire R McNellan & Danny V , 2018. "Supply-side interventions to improve health: Findings from the Salud Mesoamérica Initiative," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-14, April.
    10. Arild Angelsen, 2017. "REDD+ as Result-based Aid: General Lessons and Bilateral Agreements of Norway," Review of Development Economics, Wiley Blackwell, vol. 21(2), pages 237-264, May.
    11. Marschall, Paul, 2018. "Evidence-oriented approaches in development cooperation: experiences, potential and key issues," IDOS Discussion Papers 8/2018, German Institute of Development and Sustainability (IDOS).

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