Impact Evaluation of a Performance-based Financing Pilot in Cameroon

2021 ◽  
Author(s):  
Damien de Walque ◽  
Paul Jacob Robyn
Keyword(s):  
Impact Evaluation ◽  
Performance Based Financing ◽  
A Performance

scholarly journals The effect of a performance-based financing program on HIV and maternal/child health services in Mozambique—an impact evaluation

2017 ◽  
Vol 32 (10) ◽  
pp. 1386-1396 ◽  
Author(s):  
Yogesh Rajkotia ◽  
Omer Zang ◽  
Pierre Nguimkeu ◽  
Jessica Gergen ◽  
Iva Djurovic ◽  
...  
Keyword(s):  
Child Health ◽  
Health Services ◽  
Impact Evaluation ◽  
Child Health Services ◽  
Maternal Child Health ◽  
Performance Based Financing ◽  
Maternal Child ◽  
A Performance

scholarly journals Measuring and understanding the effects of a performance based financing scheme applied to nutrition services in Burundi—a mixed method impact evaluation design

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Manassé Nimpagaritse ◽  
Catherine Korachais ◽  
Dominique Roberfroid ◽  
Patrick Kolsteren ◽  
Moulay Driss Zine Eddine El Idrissi ◽  
...  
Keyword(s):  
Mixed Method ◽  
Impact Evaluation ◽  
Evaluation Design ◽  
Nutrition Services ◽  
Performance Based Financing ◽  
A Performance

scholarly journals Implementation of a performance-based financing scheme in Malawi and resulting externalities on the quality of care of non-incentivized services

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stephan Brenner ◽  
Caterina Favaretti ◽  
Julia Lohmann ◽  
Jobiba Chinkhumba ◽  
Adamson S. Muula ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health Services ◽  
Antenatal Care ◽  
Service Provision ◽  
Child Health Services ◽  
Negative Externalities ◽  
Positive Externalities ◽  
Performance Based Financing ◽  
A Performance

Abstract Background Countries in Africa progressively implement performance-based financing schemes to improve the quality of care provided by maternal, newborn and child health services. Beyond its direct effects on service provision, evidence suggests that performance-based financing can also generate positive externalities on service utilization, such as increased use of those services that reached higher quality standards after effective scheme implementation. Little, however, is known about externalities generated within non-incentivized health services, such as positive or negative effects on the quality of services within the continuum of maternal care. Methods We explored whether a performance-based financing scheme in Malawi designed to improve the quality of childbirth service provision resulted positive or negative externalities on the quality of non-targeted antenatal care provision. This non-randomized controlled pre-post-test study followed the phased enrolment of facilities into a performance-based financing scheme across four districts over a two-year period. Effects of the scheme were assessed by various composite scores measuring facilities’ readiness to provide quality antenatal care, as well as the quality of screening, prevention, and education processes offered during observed antenatal care consultations. Results Our study did not identify any statistically significant effects on the quality of ANC provision attributable to the implemented performance-based financing scheme. Our findings therefore suggest not only the absence of positive externalities, but also the absence of any negative externalities generated within antenatal care service provision as a result of the scheme implementation in Malawi. Conclusions Prior research has shown that the Malawian performance-based financing scheme was sufficiently effective to improve the quality of incentivized childbirth service provision. Our findings further indicate that scheme implementation did not affect the quality of non-incentivized but clinically related antenatal care services. While no positive externalities could be identified, we also did not observe any negative externalities attributable to the scheme’s implementation. While performance-based incentives might be successful in improving targeted health care processes, they have limited potential in producing externalities – neither positive nor negative – on the provision quality of related non-incentivized services.

Sign in / Sign up

Export Citation Format

Share Document