Towards a More Balanced Rethinking of Performance-Based Financing.

In a recently published paper in BMJ Global Health, a group of authors (Paul et al) challenged overly optimistic views on performance-based financing (PBF) in the health sector, and its implementation in low- and middle-income countries. While some of the issues they raised are legitimate, the paper paints an overall picture of PBF that does little justice to the reality. This article identifies some features of successful PBF programmes – full-fledged application of PBF, true local ownership, meaningful equity measures, strategic purchasing of indicators and an institutional set-up that anticipates later integration into the national health financing strategy.

Publication Year:

2018

Publisher

SPARC

Author:

Maarten Oranje
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A message from the partners of the Strategic Purchasing Africa Resource Center (SPARC)

Since 2018, The Strategic Purchasing Africa Resource Center (SPARC) has been a unique and significant force in supporting countries within Sub-Sahara Africa (SSA) in crucial areas of strategic health purchasing (SHP), Healthcare Financing as they make progress towards the realization of Universal Health Coverage (UHC) goals. This initiative, a collaboration between Amref Health Africa and Results for Development (R4D), has made expertise in these areas more accessible and has been instrumental in the progress of the target countries. The initiative was designed to advance policy discussions and actions that strengthen the application of strategic health purchasing to strengthen African health systems and support countries as they address foundational reforms…