PHM-Exch> Performance Incentives for Global Health: Potential and Pitfalls

Claudio Schuftan cschuftan at phmovement.org
Wed Jun 24 18:00:16 PDT 2009


From: Ruggiero, Mrs. Ana Lucia (WDC) <ruglucia at paho.org>
crosposted from: EQUIDAD at listserv.paho.org


 *Performance Incentives for Global Health: Potential and Pitfalls *

Rena Eichler, Ruth Levine, and the Performance-Based Incentives Working
Group
*Center for Global Development, 2009

*

Available online at:
http://www.cgdev.org/content/publications/detail/1422178/

“…..explore a new approach to health funding—the transfer of money or goods
to patients or providers when they take health-related actions or achieve
performance targets. Donors have traditionally paid for inputs—doctors’
salaries, medical equipment—in the hope that they would lead to better
health. Performance incentives turn the equation on its head. They start
with the result—more children immunized, for example—and let health workers
and managers on the ground decide how to achieve them.

*Performance Incentives for Global Health* documents a host of experiences
with incentives for maternal and child health care, tuberculosis, child
nutrition, HIV/AIDS, chronic conditions and more. An *accompanying short
video (below)* illustrates the use of performance incentives in Rwanda and
Haiti and shares the perspectives of patients and health care workers. The
evidence strongly suggests that incentives can improve health and strengthen
health systems in a variety of settings.

As decision makers in developing countries and their donor partners look for
practical ways to improve health-sector performance, real-world experiences
show that they should look to performance incentives to complement
increasing total spending on health.

*Contents

*

Front Matter<http://www.cgdev.org/doc/books/PBI/00_CGD_Eichler_Levine-FM.pdf>

Part I: More Health for the Money
Rena Eichler and Ruth Levine

o        Ch. 1: Money into
Health<http://www.cgdev.org/doc/books/PBI/01_CGD_Eichler_Levine-Ch1.pdf>

o        Ch. 2: Problems to
Solve<http://www.cgdev.org/doc/books/PBI/02_CGD_Eichler_Levine-Ch2.pdf>

o        Ch. 3: Using Performance
Incentives<http://www.cgdev.org/doc/books/PBI/03_CGD_Eichler_Levine-Ch3.pdf>

o        Ch. 4: Making Payment for Performance
Work<http://www.cgdev.org/doc/books/PBI/04_CGD_Eichler_Levine-Ch4.pdf>

o        Ch. 5: A Learning
Agenda<http://www.cgdev.org/doc/books/PBI/05_CGD_Eichler_Levine-Ch5.pdf>

Part II: Case Studies<http://www.cgdev.org/doc/books/PBI/05b_CGD_Eichler_Levine-Pt2Intro.pdf>

o        Ch. 6: Latin America: Cash Transfers to Support Better Household
Decisions <http://www.cgdev.org/doc/books/PBI/06_CGD_Eichler_Levine-Ch6.pdf>
Amanda Glassman, Jessica Todd, and Marie Gaarder

o        Ch. 7: United States: Orienting Pay-for-Performance to
Patients<http://www.cgdev.org/doc/books/PBI/07_CGD_Eichler_Levine-Ch7.pdf>
Kevin Volpp and Mark Pauly

o        Ch. 8: Afghanistan: Paying NGOs for Performance in a Postconflict
Setting <http://www.cgdev.org/doc/books/PBI/08_CGD_Eichler_Levine-Ch8.pdf>
Egbert Sondorp, Natasha Palmer, Lesley Strong, and Abdul Wali

o        Ch. 9: Haiti: Going to Scale with a Performance Incentive
Model<http://www.cgdev.org/doc/books/PBI/09_CGD_Eichler_Levine-Ch9.pdf>
Rena Eichler, Paul Auxila, Uder Antoine, and Bernateau Desmangles

o        Ch. 10: Rwanda: Performance-Based Financing in the Public
Sector<http://www.cgdev.org/doc/books/PBI/10_CGD_Eichler_Levine-Ch10.pdf>
Louis Rusa, Miriam Schneidman, Gyuri Fritsche, and Laurent Musango

o        Ch. 11: Nicaragua: Combining Demand- and Supply-Side
Incentives<http://www.cgdev.org/doc/books/PBI/11_CGD_Eichler_Levine-Ch11.pdf>
Ferdinando Regalía and Leslie Castro

o        Ch. 12: Worldwide: Incentives for Tuberculosis Diagnosis and
Treatment<http://www.cgdev.org/doc/books/PBI/12_CGD_Eichler_Levine-Ch12.pdf>
Alexandra Beith, Rena Eichler, and Diana Weil

Index <http://www.cgdev.org/doc/books/PBI/13_CGD_Eichler_Levine-Index.pdf>
*Related Content*

·         Download the
slides<http://www.cgdev.org/doc/books/PBI/PBI_launch_slides.pdf>from
the launch event

·         Watch the
video<http://www.cgdev.org/content/publications/detail/1422178/#video%23video>

·         Download the Performance Incentives
brief<http://www.cgdev.org/files/1422185_file_CGDEV_Brief_PBI_web.pdf>
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