Publication:
Tajikistan - Feasibility Study for Results-Based Financing (RBF) In the Health Sector

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dc.contributor.authorWorld Bank
dc.date.accessioned2012-03-19T10:22:18Z
dc.date.available2012-03-19T10:22:18Z
dc.date.issued2010-03-31
dc.description.abstractThe purpose of this study is to examine the feasibility of introducing Results-Based Financing (RBF) in Tajikistan's health sector. Several countries have experience with RBF in low-income settings, and lessons learned can be interesting for Tajikistan. Technically, RBF is a retrospective provider payment that can be designed to reimburse providers for contractually defined services and specific compliance targets, including for efficiency and quality targets. In Tajikistan RBF will be linked to ongoing provider payment reforms. Therefore, the chapter also provides a brief overview on provider payment mechanisms and experience with provider payment reforms and treatment patterns from middle- and higher-income countries. The objective of this feasibility study is to propose a sustainable RBF pilot program for two oblasts (Khatlon and Sughd), to cost-effectively improve maternal and child health (MCH) outcomes. The study aims to inform the health sector strategy and help the Government and partners to effectively design and use RBF mechanisms at three potential levels. First, the fiscal transfer from the central government to oblasts (regions) and rayons (districts) could be adjusted to include a bonus payment based on specific results achieved. Second, the provider payment method from oblast health fund pools to hospitals and outpatient facilities could reward providers based on results indicators. Third, a performance payment could be added to salaries paid to staff working in health facilities. It is expected that such a three-pronged approach could reinforce the financial incentive set through RBF to staff working in the administration and provision of care. If the staff responds to these incentives, then this could lead to better management in oblast and rayons, improved availability of financial resources and medical material in health facilities, and better treatment of patients. Combined, these behavioral changes will ultimately lead to better health results, including improved quality of care and in the longer-run improved health status.en
dc.identifierhttp://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20100401003318
dc.identifier.doi10.1596/2838
dc.identifier.urihttps://hdl.handle.net/10986/2838
dc.languageEnglish
dc.publisherWorld Bank
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectADMINISTRATIVE COSTS
dc.subjectANTENATAL CARE
dc.subjectAPPROPRIATE INCENTIVES
dc.subjectAVAILABILITY OF DRUGS
dc.subjectBASIC HEALTH SERVICES
dc.subjectBEDS
dc.subjectBEHAVIOR CHANGE
dc.subjectBLOCK GRANTS
dc.subjectBUDGET CEILING
dc.subjectBUDGET INCREASE
dc.subjectCAPITATION
dc.subjectCAPITATION PAYMENT
dc.subjectCAPITATION PAYMENTS
dc.subjectCAPITATION SYSTEM
dc.subjectCARE PERFORMANCE
dc.subjectCENTRAL BUDGET
dc.subjectCHILD CARE
dc.subjectCHILD HEALTH
dc.subjectCHILD HEALTH CARE
dc.subjectCHILD MORTALITY
dc.subjectCHILD MORTALITY RATES
dc.subjectCHRONIC DISEASES
dc.subjectCHRONIC MALNUTRITION
dc.subjectCLEANLINESS
dc.subjectCLINICAL INDICATORS
dc.subjectCLINICS
dc.subjectCONTRACTS WITH PROVIDERS
dc.subjectDEATH RATES
dc.subjectDEATHS
dc.subjectDECISION MAKING
dc.subjectDELIVERY SYSTEM
dc.subjectDOCTORS
dc.subjectDRUGS
dc.subjectECONOMIC ANALYSIS
dc.subjectEQUITY IN ACCESS
dc.subjectEXERCISES
dc.subjectEXPENDITURES
dc.subjectFAMILY PLANNING
dc.subjectFEE-FOR-SERVICE
dc.subjectFEE-FOR-SERVICE PAYMENT
dc.subjectFINANCIAL BARRIERS
dc.subjectFINANCIAL IMPACT
dc.subjectFINANCIAL INCENTIVE
dc.subjectFINANCIAL INCENTIVES
dc.subjectFINANCIAL INFORMATION
dc.subjectFINANCIAL MANAGEMENT
dc.subjectFINANCIAL PRESSURE
dc.subjectFINANCIAL RESOURCES
dc.subjectFINANCIAL RISK
dc.subjectFINANCIAL SITUATION
dc.subjectGLOBAL BUDGETS
dc.subjectGLOBAL DEVELOPMENT
dc.subjectGROSS DOMESTIC PRODUCT
dc.subjectHEALTH BUDGETS
dc.subjectHEALTH CARE CENTERS
dc.subjectHEALTH CARE DELIVERY
dc.subjectHEALTH CARE DURING PREGNANCY
dc.subjectHEALTH CARE FACILITIES
dc.subjectHEALTH CARE FACILITY
dc.subjectHEALTH CARE FINANCING
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CARE SERVICES
dc.subjectHEALTH CARE WORKERS
dc.subjectHEALTH CENTERS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH FINANCING REFORM
dc.subjectHEALTH FOR ALL
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH INFORMATION
dc.subjectHEALTH INFORMATION SYSTEM
dc.subjectHEALTH MANAGEMENT
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH OUTCOME INDICATORS
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH PROJECT
dc.subjectHEALTH PROMOTION
dc.subjectHEALTH RESULTS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE PROVIDERS
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SPECIALIST
dc.subjectHEALTH SPENDING
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH WORKERS
dc.subjectHEALTH WORKFORCE
dc.subjectHEALTHCARE
dc.subjectHIV
dc.subjectHOSPITAL
dc.subjectHOSPITAL ADMISSION
dc.subjectHOSPITAL CARE
dc.subjectHOSPITAL DISCHARGE
dc.subjectHOSPITAL MANAGERS
dc.subjectHOSPITALIZATION
dc.subjectHOSPITALS
dc.subjectHOUSEHOLD LEVEL
dc.subjectHR
dc.subjectHUMAN DEVELOPMENT
dc.subjectIMMUNIZATION
dc.subjectINCENTIVE PAYMENTS
dc.subjectINCOME
dc.subjectINCOME COUNTRIES
dc.subjectINCOME GROUPS
dc.subjectINDIVIDUAL HEALTH
dc.subjectINFANT
dc.subjectINFANT DEATH
dc.subjectINFANT MORTALITY
dc.subjectINFANT MORTALITY RATE
dc.subjectINFANTS
dc.subjectINFORMAL PAYMENTS
dc.subjectINFORMATION CAMPAIGNS
dc.subjectINFORMATION SYSTEMS
dc.subjectINPATIENT ADMISSION
dc.subjectINTEGRATION
dc.subjectIODINE DEFICIENCY
dc.subjectLABORATORY SERVICES
dc.subjectLEGAL FRAMEWORK
dc.subjectLIFE EXPECTANCY
dc.subjectLIVE BIRTHS
dc.subjectLIVING STANDARDS
dc.subjectLOCAL AUTHORITIES
dc.subjectLOCAL GOVERNMENTS
dc.subjectLOW BIRTH WEIGHT
dc.subjectLOW INCOME
dc.subjectLOW-INCOME COUNTRIES
dc.subjectLOW-INCOME COUNTRY
dc.subjectLOW-INCOME SETTINGS
dc.subjectMANAGED CARE
dc.subjectMANAGED CARE PLANS
dc.subjectMATERNAL MORTALITY
dc.subjectMATERNAL MORTALITY RATE
dc.subjectMATERNAL MORTALITY RATIO
dc.subjectMEDICAL DATA
dc.subjectMEDICAL EQUIPMENT
dc.subjectMEDICAL EXAMINATIONS
dc.subjectMEDICAL RECORDS
dc.subjectMEDICAL RESOURCES
dc.subjectMEDICAL STATISTICS
dc.subjectMEDICAL SUPPLIES
dc.subjectMEDICINES
dc.subjectMILLENNIUM DEVELOPMENT GOALS
dc.subjectMINISTRY OF HEALTH
dc.subjectMORTALITY
dc.subjectMOTHER
dc.subjectNATIONAL GOVERNMENT
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL HEALTH SERVICE
dc.subjectNATIONAL LEVEL
dc.subjectNEEDS ASSESSMENT
dc.subjectNUTRITION
dc.subjectORAL REHYDRATION THERAPY
dc.subjectOUTPATIENT CARE
dc.subjectOUTPATIENT SERVICES
dc.subjectPATIENT
dc.subjectPATIENT SATISFACTION
dc.subjectPATIENT SURVEYS
dc.subjectPATIENTS
dc.subjectPEDIATRICS
dc.subjectPEER PRESSURE
dc.subjectPHARMACY
dc.subjectPHYSICIAN
dc.subjectPHYSICIANS
dc.subjectPOCKET PAYMENTS
dc.subjectPOOR HEALTH
dc.subjectPOPULATION SIZE
dc.subjectPRACTITIONERS
dc.subjectPREGNANCY
dc.subjectPREGNANT WOMEN
dc.subjectPRENATAL CARE
dc.subjectPREVENTIVE CARE
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIVATE CLINICS
dc.subjectPROFESSIONAL ASSOCIATIONS
dc.subjectPROGRESS
dc.subjectPROVIDER PAYMENT
dc.subjectPROVISION OF CARE
dc.subjectPROVISION OF HEALTH CARE
dc.subjectPUBLIC ADMINISTRATION
dc.subjectPUBLIC EXPENDITURE
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH EXPENDITURE
dc.subjectPUBLIC HEALTH SERVICES
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLIC SECTOR
dc.subjectQUALITY IMPROVEMENT
dc.subjectQUALITY OF CARE
dc.subjectQUALITY OF HEALTH
dc.subjectQUALITY OF HEALTH CARE
dc.subjectQUALITY OF SERVICES
dc.subjectREFERRALS
dc.subjectREMITTANCES
dc.subjectREPRODUCTIVE HEALTH
dc.subjectRESOURCE ALLOCATION
dc.subjectRESOURCE CONSTRAINTS
dc.subjectRESOURCE USE
dc.subjectRISK FACTORS
dc.subjectRURAL AREAS
dc.subjectSERVICE DELIVERY
dc.subjectSERVICE PROVISION
dc.subjectSOCIAL SECURITY
dc.subjectSURGERY
dc.subjectTREATMENTS
dc.subjectTUBERCULOSIS
dc.subjectUNDER FIVE MORTALITY
dc.subjectVACCINATION
dc.subjectVISITS
dc.subjectWOMENS HEALTH
dc.subjectWOMENS HEALTH CARE
dc.subjectWORKERS
dc.subjectWORLD HEALTH ORGANIZATION
dc.titleTajikistan - Feasibility Study for Results-Based Financing (RBF) In the Health Sectoren
dspace.entity.typePublication
okr.date.doiregistration2025-05-07T12:27:42.992680Z
okr.doctypeEconomic & Sector Work::Other Health Study
okr.docurlhttp://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20100401003318
okr.globalpracticeHealth, Nutrition, and Population
okr.globalpracticeGovernance
okr.globalpracticeFinance and Markets
okr.globalpracticeHealth, Nutrition, and Population
okr.guid917501468116363670
okr.identifier.externaldocumentum000333038_20100401003318
okr.identifier.internaldocumentum12030793
okr.identifier.report53743
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2010/04/01/000333038_20100401003318/Rendered/PDF/537430ESW0P11810Box345624B01PUBLIC1.pdfen
okr.region.administrativeEurope and Central Asia
okr.region.countryTajikistan
okr.region.geographicalEastern Europe
okr.region.geographicalCommonwealth of Independent States
okr.region.geographicalCentral Asia
okr.region.geographicalAsia
okr.sectorHealth and other social services :: Health
okr.themeHuman development :: Health system performance
okr.topicLaw and Development::Health Law
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.topicHealth, Nutrition and Population::Health Systems Development & Reform
okr.topicHealth, Nutrition and Population
okr.unitHuman Development Sector Unit (ECSHD)
okr.volume1 of 1
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