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Policy Research Report | Improving Effective Coverage in Health: Do Financial Incentives Work?



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Join us for the launch of Improving Effective Coverage in Health: Do Financial Incentives Work?, a new World Bank Policy Research Report that builds on the rigorous body of evidence accumulated on performance-based financing (PBF) to examine the impacts of PBF and draw lessons for the future of health financing. Financial incentives and performance pay to frontline health facilities and workers have gained popularity as an innovative approach to confront the challenge of poor health outcomes in low-income countries. This approach was a significant departure from previous financing that had little link to results and accountability. PBF projects included such financial incentives as well as transparency and accountability reforms.

In this talk, report lead authors Damien de Walque and Eeshani Kandpal will review evidence on the impacts of PBF on health service delivery spanning fifteen years and nearly forty countries with a particular emphasis on the quality of service delivery. The PBF programs studied in the report have largely been implemented in primary healthcare—specifically maternal and child healthcare—in low-income countries, although the report also draws on some evidence from higher level health facilities and middle-income countries. The report documents that PBF projects produced gains in health outcomes compared to business-as-usual, but these gains did not necessarily result from the specific financial incentives and associated monitoring components of projects. Instead, impactful health financing reform may mean pivoting from performance pay while retaining other important aspects of PBF projects—like transparency, accountability, and decentralized frontline financing.

More about this event: https://www.worldbank.org/en/events/2022/05/11/policy-research-report-improving-effective-coverage-in-health
Policy Research Reports: https://www.worldbank.org/en/research/brief/policy-research-reports
Policy Research Talks: https://www.worldbank.org/en/research/brief/policy-research-talks
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Management
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