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Bull World Health Organ. 2011 Feb 1;89(2):153-6. doi: 10.2471/BLT.10.077339. Epub 2010 Nov 26.

Performance-based financing: just a donor fad or a catalyst towards comprehensive health-care reform?

Author information

1
Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, Antwerp, 2000, Belgium. bmeessen@itg.be

Abstract

Performance-based financing is generating a heated debate. Some suggest that it may be a donor fad with limited potential to improve service delivery. Most of its critics view it solely as a provider payment mechanism. Our experience is that performance-based financing can catalyse comprehensive reforms and help address structural problems of public health services, such as low responsiveness, inefficiency and inequity. The emergence of a performance-based financing movement in Africa suggests that it may contribute to profoundly transforming the public sectors of low-income countries.

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PMID:
21346927
PMCID:
PMC3040374
DOI:
10.2471/BLT.10.077339
[Indexed for MEDLINE]
Free PMC Article

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