Working Paper

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

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collection.link.5
https://openknowledge.worldbank.org/handle/10986/9
collection.name.5
Policy Research Working Papers
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.date.lastModified
2021-06-08T14:42:48Z
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
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.googlescholar.linkpresent
yes
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.dr
834601502391015068
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

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