Increasing African agency in the design of performance based financing

Date

2014-07

Authors

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Publisher

EQUINET
University of Sheffield
Queen Mary University of London
St Andrews University
Ministry of Health, Zambia, South Africa
Institute of Social and Economic Research
University of Zambia
Training and Research Support Centre (TARSC)

Abstract

This brief explains “Performance Based Financing” (PBF) schemes and their popularity in financial support of health systems. It presents positive and negative features of PBF and makes recommendations for African officials to improve its design and implementation. Co-ordinated negotiation at the regional level strengthens African agency and increases knowledge of conditions, contexts and factors affecting PBF application. Longer term change calls for new approaches in Sustainable Development Goals and other global frameworks on the goals and measures for financing health. The research indicates that there is space for greater African agency in PBF design and implementation.

Description

Keywords

HEALTH EQUITY, HEALTH SYSTEM, WORLD BANK, HEALTH FINANCING, PERFORMANCE BASED FINANCING, PROGRAMME PLANNING, GLOBAL HEALTH, SOUTH OF SAHARA

Citation

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