Performance Incentives for Global Health: Potential and Pitfalls

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This volume demonstrates how incentives can improve the delivery and use of health services in low- and middle-income countries. The authors describe the rationale for introducing incentives tied to achievement of specific health-related targets, and they provide clear guidance about designing, implementing, and evaluating programs that provide incentives to health care providers and patients. A set of case studies focuses on recent uses of incentives addressing a range of health conditions in diverse countries. In particular, these studies emphasize how explicit incentives can be used to strengthen weak health systems.

The book will be of use to policymakers and program managers in both developing countries and the donor community interested in improving health outcomes through the strategic use of performance-based incentives.

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Product Details

  • ISBN-13: 9781933286297
  • Publisher: Center for Global Development
  • Publication date: 4/10/2009
  • Pages: 250
  • Sales rank: 1,237,056
  • Product dimensions: 6.00 (w) x 8.90 (h) x 0.80 (d)

Meet the Author

Rena Eichler is president of Broad Branch Associates and serves as technical lead for the Performance-Based IncentivesWorking Group run by the Center for Global Development.
Ruth Levine, vice president of the Center for Global Development, is a health economist who has worked on health and family planning financing in East Africa, Latin America, the Middle East, and South Asia.

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Table of Contents

Preface ix

Acknowledgments xi

Abbreviations xiii

Working Group Members xv

Part 1 More Health for the Money Rena Eichler Ruth Levine 1

1 Money into Health 3

2 Problems to Solve 11

3 Using Performance Incentives 23

4 Making Payment for Performance Work 51

5 A Learning Agenda 79

Part 2 Case Studies 87

6 Latin America: Cash Transfers to Support Better Household Decisions Amanda Glassman Jessica Todd Marie Gaarder 89

7 United States: Orienting Pay-for-Performance to Patients Kevin Volpp Mark Pauly 123

8 Afghanistan: Paying NGOs for Performance in a Postconflict Setting Egbert Sondorp Natasha Palmer Lesley Strong Abdul Wali 139

9 Haiti: Going to Scale with a Performance Incentive Model Rena Eichler Paul Auxila Uder Antoine Bernateau Desmangles 165

10 Rwanda: Performance-Based Financing in the Public Sector Louis Rusa Miriam Schneidman Gyuri Fritsche Laurent Musango 189

11 Nicaragua: Combining Demand-and Supply-Side Incentives Ferdinando RegalĂ­a Leslie Castro 215

12 Worldwide: Incentives for Tuberculosis Diagnosis and Treatment Alexandra Beith Rena Eichler Diana Weil 237

Index 257

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