Performance-based financing: just a donor fad or a catalyst towards comprehensive health-care reform?
- 1 February 2011
- journal article
- Published by WHO Press in Bulletin of the World Health Organization
- Vol. 89 (2) , 153-156
- https://doi.org/10.2471/blt.10.077339
Abstract
Performance-based financing is generating a heated debate. Some suggest that it may be a donor fad with limited potential to improve service delivery. Most of its critics view it solely as a provider payment mechanism. Our experience is that performance-based financing can catalyse comprehensive reforms and help address structural problems of public health services, such as low responsiveness, inefficiency and inequity. The emergence of a performance-based financing movement in Africa suggests that it may contribute to profoundly transforming the public sectors of low-income countries.Keywords
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