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

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dc.contributor.authorRobyn, Paul Jacob
dc.contributor.authorde Walque, Damien
dc.contributor.authorSaidou, Hamadou
dc.contributor.authorSorgho, Gaston
dc.contributor.authorSteenland, Maria
dc.date.accessioned2017-08-24T21:15:03Z
dc.date.available2017-08-24T21:15:03Z
dc.date.issued2017-08
dc.description.abstractPerformance-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.identifierhttp://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.doi10.1596/1813-9450-8162
dc.identifier.urihttps://hdl.handle.net/10986/27969
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesPolicy Research Working Paper;No. 8162
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectPERFORMANCE-BASED FINANCING
dc.subjectHEALTHCARE
dc.subjectHEALTH SYSTEM
dc.subjectMONITORING AND EVALUATION
dc.subjectIMPACT EVALUATION
dc.titleLooking into the Performance-Based Financing Black Boxen
dc.title.subtitleEvidence from an Impact Evaluation in the Health Sector in Cameroonen
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.crossref.titleLooking into the Performance-Based Financing Black Box: Evidence from an Impact Evaluation in the Health Sector in Cameroon
okr.date.disclosure2017-08-10
okr.doctypePublications & Research
okr.doctypePublications & Research::Policy Research Working Paper
okr.docurlhttp://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.guid834601502391015068
okr.identifier.doi10.1596/1813-9450-8162
okr.identifier.externaldocumentum090224b084e9d445_2_0
okr.identifier.internaldocumentum27893581
okr.identifier.reportWPS8162
okr.importedtrue
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/834601502391015068/pdf/WPS8162.pdfen
okr.region.administrativeAfrica
okr.region.countryCameroon
okr.statistics.combined7127
okr.statistics.dr834601502391015068
okr.statistics.drstats4047
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.topicHealth, Nutrition and Population::Health and Poverty
okr.topicIndustry::Health Care Services Industry
okr.unitHuman Development and Public Services Team, Development Research Group; and the Health Nutrition and Population Global Practice Group
relation.isAuthorOfPublicationb5740416-f4ef-5235-974a-47bd257d61a4
relation.isAuthorOfPublication.latestForDiscoveryb5740416-f4ef-5235-974a-47bd257d61a4
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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