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The Institute for Global Health and Development

Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/9

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Author: search.filters.author.Bertone, Maria PaolaSubject: search.filters.subject.Performance-based Financing

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    Performance-based financing versus ‘unconditional’ direct facility financing - false dichotomy?
    (Taylor & Francis, 2021-12-07) Witter, Sophie; Bertone, Maria Paola; Diaconu, Karin; Bornemisza, Olga
    A debate about how best to finance essential health care in low and middle income settings has been running for decades, with public health systems often failing to provide reliable and adequate funding for primary health care in particular. Since 2000, many have advocated and experimented with performance-based financing as one approach to addressing this problem. More recently, in light of concerns over high transaction costs, mixed results and challenges of sustainability, a less conditional approach, sometimes called direct facility financing, has come into favor. In this viewpoint, we examine the evidence for the effectiveness of both modalities and argue that they share many features and requirements for effectiveness. In the right context, both can contribute to health system strengthening, and they should be seen as potentially complementary, rather than as rivals.
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    Results-based financing as a strategic purchasing intervention: Some progress but much further to go in Zimbabwe?
    (BMC, 2020-03-06) Witter, Sophie; Chirwa, Yotamu; Chandiwana, Pamela; Munyati, Shungu; Pepukai, Mildred; Bertone, Maria Paola; Banda, Steve
    Background Results-Based Financing (RBF) has proliferated in the health sectors of low and middle income countries, especially those which are fragile or conflict-affected, and has been presented by some as a way of reforming and strengthening strategic purchasing. However, few if any studies have empirically and systematically examined how RBF impacts on health care purchasing. This article examines this question in the context of Zimbabwe’s national RBF programme.
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    (How) does RBF strengthen strategic purchasing of health care? Comparing the experience of Uganda, Zimbabwe and the Democratic Republic of the Congo
    (BioMed Central, 2019-01-31) Witter, Sophie; Bertone, Maria Paola; Namakula, Justine; Chandiwana, Pamela; Chirwa, Yotamu; Ssennyonjo, Aloysius; Ssengooba, Freddie
    Background - Results-Based Financing (RBF) has proliferated in health sectors of low and middle income countries, especially fragile and conflict-affected ones, and has been presented as a way of reforming and strengthening strategic purchasing. However, few studies have empirically examined how RBF impacts on health care purchasing in these settings. This article examines the effects of several RBF programmes on health care purchasing functions in three fragile and post-conflict settings: Uganda, Zimbabwe and the Democratic Republic of Congo (DRC) over the past decade.