Performance-Based Incentives for Health: Six Years of Results from Supply-Side Programs in Haiti

Eichler, Rena; Auxila, Paul; Antoine, Uder; Desmangles, Bernateau

doi:10.2139/ssrn.1003249

Cited by 33 publications

(29 citation statements)

References 5 publications

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“…13 Haiti was the first low-income country in which health service providers were remunerated according to their performance. 14 In Cambodia, performance-based financing was applied to the public sector; despite promising results, however, it did not materialise into a national policy. 15 Rwanda has been on the cutting edge of this approach, implementing performance-based financing in several sectors since 2002.…”

Section: Discussionmentioning

confidence: 99%

Innovative strategies for a successful SLMTA country programme: The Rwanda story

Nzabahimana

Sebasirimu

Gatabazi³

et al. 2014

Afr J Lab Med

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BackgroundIn 2009, to improve the performance of laboratories and strengthen healthcare systems, the World Health Organization Regional Office for Africa (WHO AFRO) and partners launched two initiatives: a laboratory quality improvement programme called Strengthening Laboratory Management Toward Accreditation (SLMTA), and what is now called the Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA).ObjectivesThis study describes the achievements of Rwandan laboratories four years after the introduction of SLMTA in the country, using the SLIPTA scoring system to measure laboratory progress.MethodsThree cohorts of five laboratories each were enrolled in the SLMTA programme in 2010, 2011 and 2013. The cohorts used SLMTA workshops, improvement projects, mentorship and quarterly performance-based financing incentives to accelerate laboratory quality improvement. Baseline, exit and follow-up audits were conducted over a two-year period from the time of enrolment. Audit scores were used to categorise laboratory quality on a scale of zero (< 55%) to five (95% – 100%) stars.ResultsAt baseline, 14 of the 15 laboratories received zero stars with the remaining laboratory receiving a two-star rating. At exit, five laboratories received one star, six received two stars and four received three stars. At the follow-up audit conducted in the first two cohorts approximately one year after exit, one laboratory scored two stars, five laboratories earned three stars and four laboratories, including the National Reference Laboratory, achieved four stars.ConclusionRwandan laboratories enrolled in SLMTA showed improvement in quality management systems. Sustaining the gains and further expansion of the SLMTA programme to meet country targets will require continued programme strengthening.

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Section: Discussionmentioning

confidence: 99%

Innovative strategies for a successful SLMTA country programme: The Rwanda story

Nzabahimana

Sebasirimu

Gatabazi³

et al. 2014

Afr J Lab Med

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“…Haiti is the first low-income country in which health service providers (national nongovernmental organizations) were contracted and remunerated according to their performance (which was measured by the attainment of some coverage rates). 8 In Cambodia, performance-based financing was applied to the public sector. [9][10][11] However, despite promising results, it did not materialize into a national policy.…”

Section: Introductionmentioning

confidence: 99%

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

Meessen¹,

Soucat²,

Sekabaraga³

2011

Bull World Health Org

194

203

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“…The objective of the evaluation of RBF for non-government organizations (NGO) in Haiti was to assess whether paying for results is effective as well as the many "nuts and bolts" details that can be used to inform others considering implementing performance based incentives (10). The evaluation was based on an analysis of indicator data over 5 years for NGO reimbursed for expenditures and the ones that went over to the RBF scheme, as well as interviews.…”

Section: Haiti: Rbf For Non-government Organizationsmentioning

confidence: 99%

Can paying for results help to achieve the Millennium Development Goals? A critical review of selected evaluations of results‐based financing

Oxman

Fretheim

2009

J Evidence Based Medicine

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When RBF schemes are used, they should be designed carefully, including the level at which they are targeted, the choice of targets and indicators, the type and magnitude of incentives, the proportion of financing that is paid based on results, and the ancillary components of the scheme. For RBF to be effective, it must be part of an appropriate package of interventions, and technical capacity or support must be available. RBF schemes should be monitored for possible unintended effects and evaluated using rigorous study designs.

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Performance-Based Incentives for Health: Six Years of Results from Supply-Side Programs in Haiti

Cited by 33 publications

References 5 publications

Innovative strategies for a successful SLMTA country programme: The Rwanda story

Innovative strategies for a successful SLMTA country programme: The Rwanda story

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

Can paying for results help to achieve the Millennium Development Goals? A critical review of selected evaluations of results‐based financing

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