Performance-based financing: just a donor fad or a catalyst towards comprehensive health-care reform?

Meessen, Bruno; Soucat, Agnès; Sekabaraga, Claude

doi:10.2471/blt.10.077339

Cited by 195 publications

(221 citation statements)

References 13 publications

Supporting

Mentioning

209

Contrasting

Unclassified

Order By: Relevance

“…This is part of the more general Pay-forperformance (P4P) movement that gives financial rewards at the facility and/or provider levels to improve performance measured by specific utilization and quality of care indicators. P4P is now being piloted or scaled up in over 20 low-and middle-income countries (Eichler and Levine, 2009;Meessen et al, 2011).…”

mentioning

confidence: 99%

Using provider performance incentives to increase HIV testing and counseling services in Rwanda

Walque

Gertler

Bautista‐Arredondo

et al. 2015

Journal of Health Economics

View full text Add to dashboard Cite

mentioning

confidence: 99%

Using provider performance incentives to increase HIV testing and counseling services in Rwanda

Walque

Gertler

Bautista‐Arredondo

et al. 2015

Journal of Health Economics

View full text Add to dashboard Cite

“…For the moment, it seems difficult to answer the question initially raised by Meessen et al 3 Performance-based financing is definitely -as the authors write themselves -not a panacea or a magic bullet. Yet, perhaps we should reformulate the question to ask if it is even a bullet?…”

mentioning

confidence: 96%

“…In the March issue of the Bulletin of the World Health Organization, Meessen et al 3 rightly raise the question of whether performance-based financing is just a donor fad or a catalyst for wider reform. Looking at the broader evidence, one finds the following arguments against performance-based financing, based on three main issues.…”

mentioning

confidence: 99%

The costs of performance-based financing

Kalk¹

2011

Bull. World Health Organ.

View full text Add to dashboard Cite

“…monumental problem of health inequality and the high burden of diseases in sub-Saharan Africa still bothers on the poor state of health of many of its citizens particularly in rural communities [1] . These issues are further exacerbated by the harrowing conditions of health care delivery and the poor financing of health services in many of these communities [1][2][3] .…”

mentioning

confidence: 99%

“…These issues are further exacerbated by the harrowing conditions of health care delivery and the poor financing of health services in many of these communities [1][2][3] . As it were, in a region where many of the citizens live in rural communities, it is therefore not surprising that many of the people especially women and children and in particular the poorest of the poor die from avoidable health problems such as preventable infectious diseases, malnutrition, as well as complications of pregnancy and child birth.…”

mentioning

confidence: 99%

Scaling-up health insurance through community- based health insurance schemes in rural sub- Saharan African communities

Ejughemre

2013

JHA

View full text Add to dashboard Cite

Context: The knotty and monumental problem of health inequality and the high burden of diseases in sub-Saharan Africa bothers on the poor state of health of many of its citizens particularly in rural communities. These issues are further exacerbated by the harrowing conditions of health care delivery and the poor financing of health services in many of these communities. Against these backdrops, health policy makers in the region are not just concerned with improving peoples' health but with protecting them against the financial costs of illness. What is important is the need to support more robust strategies for healthcare financing in these communities in sub-Saharan Africa.Objective: This review assesses the evidence of the extent to which community-based health insurance (CBHI) is a more viable option for health care financing amongst other health insurance schemes in rural communities in sub-Saharan Africa.Patterns of health insurance in sub-Saharan Africa: Theoretically, the basis for health insurance is that it allows for risk pooling and therefore ensures that resources follow sick individuals to seek health care when needed. As it were, there are different models such as social, private and CBHI schemes which could come to bear in different settings in the region. However, not all insurance schemes will come to bear in rural settings in the region. Community based health insurance:CBHI is now recognized as a community-initiative that is community friendly and has a wide reach in the informal sector especially if well designed. Experience from Rwanda, parts of Nigeria and other settings in the region indicate high acceptability but the challenge is that these schemes are still very new in the region. Recommendations and conclusion:Governments and international development partners in the region should collectively develop CBHI as it will help in strengthening health systems and efforts geared towards achieving the millennium development goals. This is because it is inextricably linked to the health care needs of the poor.

show abstract

Performance-based financing: just a donor fad or a catalyst towards comprehensive health-care reform?

Cited by 195 publications

References 13 publications

Using provider performance incentives to increase HIV testing and counseling services in Rwanda

Using provider performance incentives to increase HIV testing and counseling services in Rwanda

The costs of performance-based financing

Scaling-up health insurance through community- based health insurance schemes in rural sub- Saharan African communities

Contact Info

Product

Resources

About