Publication:
Alignment of Performance-Based Financing in Health with the Government Budget: A Principle-Based Approach

dc.contributor.author Piatti-Fuenfkirchen, Moritz
dc.contributor.author Hadley, Sierd
dc.contributor.author Mathivet, Benoit
dc.date.accessioned 2021-10-13T16:05:29Z
dc.date.available 2021-10-13T16:05:29Z
dc.date.issued 2021-08
dc.description.abstract Performance-based financing (PBF) is the transfer of funds to health facilities so they can provide a pre-agreed set of services according to appropriate standards of quality and administration. These initiatives have introduced a wide set of reforms, including in provider autonomy, access to financial services, flexibility on the utilization of funds, a performance orientation on the budget allocation, and rigorous verification protocols. This tends to set PBF apart from the prevailing public financial management (PFM) systems that often remain input-based and thereby create a sustainability challenge. If the prevailing PFM system remains in parallel to the PBF, countries are likely to return to the legacy PFM system once PBF donor resources dry up. This paper unpacks this problem. It develops a conceptual framework about how to think about aligning PBF principles with PFM structures; offers a set of diagnostic questions for an assessment; and helps guide an analyst through the process of developing a reform roadmap, considering country context. The paper also proposes a reform roadmap to be centered around the following four facility financing pillars: (i) provider autonomy, (ii) financial management capacity, (iii) output-oriented budget provisions, and (iv) a unified payment system. As a discussion paper, this work aims to solicit feedback on the proposed approach from the PBF and PFM community. en
dc.identifier http://documents.worldbank.org/curated/undefined/935821632462316181/Alignment-of-Performance-Based-Financing-in-Health-with-the-Government-Budget-A-Principle-Based-Approach
dc.identifier.uri http://hdl.handle.net/10986/36362
dc.language English
dc.publisher World Bank, Washington, DC
dc.relation.ispartofseries Health, Nutrition and Population Discussion Paper;
dc.rights CC BY 3.0 IGO
dc.rights.holder World Bank
dc.rights.uri http://creativecommons.org/licenses/by/3.0/igo
dc.subject HEALTH FINANCING
dc.subject PERFORMANCE-BASED FINANCING
dc.subject PUBLIC FINANCIAL MANAGEMENT
dc.subject PERFOPRMANCE BUDGETING
dc.subject UNIFIED PAYMENT SYSTEM
dc.subject PROVIDER AUTONOMY
dc.subject REFORM PROCESS
dc.subject HEALTH FACILITY
dc.title Alignment of Performance-Based Financing in Health with the Government Budget en
dc.title.subtitle A Principle-Based Approach en
dc.type Working Paper en
dc.type Document de travail fr
dc.type Documento de trabajo es
dspace.entity.type Publication
okr.date.disclosure 2021-09-24
okr.date.lastmodified 2021-09-24T00:00:00Z en
okr.doctype Publications & Research
okr.doctype Publications & Research :: Working Paper
okr.docurl http://documents.worldbank.org/curated/undefined/935821632462316181/Alignment-of-Performance-Based-Financing-in-Health-with-the-Government-Budget-A-Principle-Based-Approach
okr.guid 935821632462316181
okr.identifier.externaldocumentum 090224b0889df5db_1_0
okr.identifier.internaldocumentum 33439025
okr.identifier.report 164388
okr.imported true en
okr.language.supported en
okr.pdfurl http://documents.worldbank.org/curated/en/935821632462316181/pdf/Alignment-of-Performance-Based-Financing-in-Health-with-the-Government-Budget-A-Principle-Based-Approach.pdf en
okr.topic Public Sector Development :: Public Financial Management
okr.topic Health, Nutrition and Population :: Health Economics & Finance
okr.topic Health, Nutrition and Population :: Health Service Management and Delivery
okr.topic Health, Nutrition and Population :: Health Systems Development & Reform
okr.topic Industry :: Health Care Services Industry
okr.unit Health Nutri &Population AFR 1 (HAEH1)
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