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Incentivizing Quantity and Quality of Care: Evidence from an Impact Evaluation of Performance-Based Financing in the Health Sector in Tajikistan

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dc.contributor.authorAhmed, Tashrik
dc.contributor.authorArur, Aneesa
dc.contributor.authorde Walque, Damien
dc.contributor.authorShapira, Gil
dc.date.accessioned2019-08-01T21:39:17Z
dc.date.available2019-08-01T21:39:17Z
dc.date.issued2019-07
dc.description.abstractThis paper presents the results of an impact evaluation of a performance-based financing pilot in rural areas of two regions of Tajikistan. Primary care facilities were given financial incentives conditional on general quality and the quantity provided of selected services related to reproductive, maternal and child health, and hypertension-related services. The study relies on a difference-in-difference design and large-scale household and facility-based surveys conducted before the launch of the pilot in 2015 and after three years of implementation. The performance-based financing pilot had positive impacts on quality of care. Significant impacts are measured on facility infrastructure, infection prevention and control standards, availability of equipment and medical supplies, provider competency, provider satisfaction, and even some elements of the content of care, measured through direct observations of provider-patient interactions. While the communities in the performance-based financing districts reported higher satisfaction with the local primary care facilities, and despite the improvements in quality, the findings suggest moderate effects on utilization: among the incentivized utilization indicators, only timely postnatal care and blood pressure measurements for adults were significantly impacted.en
dc.identifierhttp://documents.worldbank.org/curated/en/612501564495857201/Incentivizing-Quantity-and-Quality-of-Care-Evidence-from-an-Impact-Evaluation-of-Performance-Based-Financing-in-the-Health-Sector-in-Tajikistan
dc.identifier.doi10.1596/1813-9450-8951
dc.identifier.urihttps://hdl.handle.net/10986/32154
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesPolicy Research Working Paper;No. 8951
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.subjectHEALTH CARE
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectREPRODUCTIVE HEALTH
dc.subjectCHILD HEALTH
dc.subjectHYPERTENSION
dc.titleIncentivizing Quantity and Quality of Careen
dc.title.subtitleEvidence from an Impact Evaluation of Performance-Based Financing in the Health Sector in Tajikistanen
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.crossref.titleIncentivizing Quantity and Quality of Care: Evidence from an Impact Evaluation of Performance-Based Financing in the Health Sector in Tajikistan
okr.date.disclosure2019-07-30
okr.doctypePublications & Research
okr.doctypePublications & Research::Policy Research Working Paper
okr.docurlhttp://documents.worldbank.org/curated/en/612501564495857201/Incentivizing-Quantity-and-Quality-of-Care-Evidence-from-an-Impact-Evaluation-of-Performance-Based-Financing-in-the-Health-Sector-in-Tajikistan
okr.guid928551578334134280
okr.guid612501564495857201
okr.identifier.doi10.1596/1813-9450-8951
okr.identifier.externaldocumentum090224b086f51ded_2_0
okr.identifier.internaldocumentum31291749
okr.identifier.reportWPS8951
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/612501564495857201/pdf/Incentivizing-Quantity-and-Quality-of-Care-Evidence-from-an-Impact-Evaluation-of-Performance-Based-Financing-in-the-Health-Sector-in-Tajikistan.pdfen
okr.region.administrativeEurope and Central Asia
okr.region.countryTajikistan
okr.statistics.combined1398
okr.statistics.dr612501564495857201
okr.statistics.drstats904
okr.topicHealth, Nutrition and Population::Early Child and Children's Health
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicHealth, Nutrition and Population::Health Service Management and Delivery
okr.topicHealth, Nutrition and Population::Reproductive Health
okr.topicIndustry::Health Care Services Industry
okr.unitDevelopment Research Group, Development Economics; and the Health, Nutrition and Population Global Practice
relation.isAuthorOfPublicationb5740416-f4ef-5235-974a-47bd257d61a4
relation.isAuthorOfPublication41f6725d-021b-5878-8750-949260b0f2ca
relation.isAuthorOfPublication.latestForDiscoveryb5740416-f4ef-5235-974a-47bd257d61a4
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
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