Publication:
Looking into the Performance-Based Financing Black Box: Evidence from an Impact Evaluation in the Health Sector in Cameroon

dc.contributor.author de Walque, Damien
dc.contributor.author Robyn, Paul Jacob
dc.contributor.author Saidou, Hamadou
dc.contributor.author Sorgho, Gaston
dc.contributor.author Steenland, Maria
dc.date.accessioned 2017-08-24T21:15:03Z
dc.date.available 2017-08-24T21:15:03Z
dc.date.issued 2017-08
dc.description.abstract Performance-based financing is a complex health system intervention aimed at improving coverage and quality of care. This paper presents the results of an impact evaluation in Cameroon that seeks to isolate the role of specific components of the performance-based financing approach on outcomes of interest, such as explicit financial incentives linked to results, additional resources available at the point of service delivery (not linked to performance), and enhanced supervision, coaching, and monitoring. Four evaluation groups were established to measure the effects of each component that was studied. In general, the results indicate that performance-based financing in Cameroon is an efficient mechanism to channel payments and funding to the provider level, leading to significant increases in utilization in the performance-based financing arm for several services (child and maternal vaccinations and use of modern family planning), but not for others, such as antenatal care visits and facility-based deliveries. However, for many of those outcomes, the differences between the performance-based financing group and the additional financing group are not significant. In terms of quality, performance-based financing was found to have a significant impact on the availability of essential inputs and equipment, qualified health workers, reduction in formal and informal user fees, and increased satisfaction among patients and providers. However, there was a clear effect of additional financing, irrespective of whether it was linked to incentives, in combination with reinforced supervision through performance-based financing. This result suggests that enhanced supervision and monitoring on their own are not sufficient to improve maternal and child health outcomes. en
dc.identifier http://documents.worldbank.org/curated/en/834601502391015068/Looking-into-the-performance-based-financing-black-box-evidence-from-an-impact-evaluation-in-the-health-sector-in-Cameroon
dc.identifier.uri http://hdl.handle.net/10986/27969
dc.language English
dc.language.iso en_US
dc.publisher World Bank, Washington, DC
dc.relation.ispartofseries Policy Research Working Paper;No. 8162
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 PERFORMANCE-BASED FINANCING
dc.subject HEALTHCARE
dc.subject HEALTH SYSTEM
dc.subject MONITORING AND EVALUATION
dc.subject IMPACT EVALUATION
dc.title Looking into the Performance-Based Financing Black Box en
dc.title.subtitle Evidence from an Impact Evaluation in the Health Sector in Cameroon en
dc.type Working Paper en
dc.type Document de travail fr
dc.type Documento de trabajo es
dspace.entity.type Publication
okr.crossref.title Looking into the Performance-Based Financing Black Box: Evidence from an Impact Evaluation in the Health Sector in Cameroon
okr.date.disclosure 2017-08-10
okr.doctype Publications & Research
okr.doctype Publications & Research :: Policy Research Working Paper
okr.docurl http://documents.worldbank.org/curated/en/834601502391015068/Looking-into-the-performance-based-financing-black-box-evidence-from-an-impact-evaluation-in-the-health-sector-in-Cameroon
okr.identifier.doi 10.1596/1813-9450-8162
okr.identifier.externaldocumentum 090224b084e9d445_2_0
okr.identifier.internaldocumentum 27893581
okr.identifier.report WPS8162
okr.imported true
okr.language.supported en
okr.pdfurl http://documents.worldbank.org/curated/en/834601502391015068/pdf/WPS8162.pdf en
okr.region.administrative Africa
okr.region.country Cameroon
okr.statistics.combined 6636
okr.statistics.dr 834601502391015068
okr.statistics.drstats 3670
okr.topic Health, Nutrition and Population :: Health Economics & Finance
okr.topic Health, Nutrition and Population :: Health Monitoring & Evaluation
okr.topic Health, Nutrition and Population :: Health and Poverty
okr.topic Industry :: Health Care Services Industry
okr.unit Human Development and Public Services Team, Development Research Group; and the Health Nutrition and Population Global Practice Group
relation.isAuthorOfPublication b5740416-f4ef-5235-974a-47bd257d61a4
relation.isSeriesOfPublication 26e071dc-b0bf-409c-b982-df2970295c87
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