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<div class="gmail_quote">From: <b class="gmail_sendername">Ruggiero, Mrs. Ana Lucia (WDC)</b> <span dir="ltr"><<a href="mailto:ruglucia@paho.org">ruglucia@paho.org</a>></span><br>crosposted from: <a href="mailto:EQUIDAD@listserv.paho.org">EQUIDAD@listserv.paho.org</a><br>
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<h1 style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="maroon" size="4"><span style="FONT-SIZE: 14pt; COLOR: maroon; FONT-FAMILY: Arial">Performance Incentives for Global Health: Potential and Pitfalls </span></font></b></h1>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Rena Eichler, Ruth Levine, and the Performance-Based Incentives Working Group<br><b><span style="FONT-WEIGHT: bold">Center for Global Development, 2009<br>
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<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Available online at: <a href="http://www.cgdev.org/content/publications/detail/1422178/" target="_blank"><font color="navy"><span style="COLOR: navy">http://www.cgdev.org/content/publications/detail/1422178/</span></font></a> <br>
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<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">“…..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.</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><i><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-STYLE: italic; FONT-FAMILY: Arial">Performance Incentives for Global Health</span></font></i><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> documents a host of experiences with incentives for maternal and child health care, tuberculosis, child nutrition, HIV/AIDS, chronic conditions and more. An <b><span style="FONT-WEIGHT: bold">accompanying short video (below)</span></b> 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.</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">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.<br>
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<h2 style="MARGIN-LEFT: 0.5in"><a name="12213e607d85d682_contents"></a><b><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Contents<br><br></span></font></b></h2>
<p style="MARGIN-LEFT: 0.75in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.cgdev.org/doc/books/PBI/00_CGD_Eichler_Levine-FM.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Front Matter</span></font></a> </span></font></p>
<p style="MARGIN-LEFT: 0.75in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Part I: More Health for the Money<br>Rena Eichler and Ruth Levine </span></font></p>
<p style="MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Courier New" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Courier New'"><span>o<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.cgdev.org/doc/books/PBI/01_CGD_Eichler_Levine-Ch1.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Ch. 1: Money into Health</span></font></a> </span></font></p>
<p style="MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Courier New" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Courier New'"><span>o<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.cgdev.org/doc/books/PBI/02_CGD_Eichler_Levine-Ch2.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Ch. 2: Problems to Solve</span></font></a> </span></font></p>
<p style="MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Courier New" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Courier New'"><span>o<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.cgdev.org/doc/books/PBI/03_CGD_Eichler_Levine-Ch3.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Ch. 3: Using Performance Incentives</span></font></a> </span></font></p>
<p style="MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Courier New" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Courier New'"><span>o<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.cgdev.org/doc/books/PBI/04_CGD_Eichler_Levine-Ch4.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Ch. 4: Making Payment for Performance Work</span></font></a> </span></font></p>
<p style="MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Courier New" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Courier New'"><span>o<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.cgdev.org/doc/books/PBI/05_CGD_Eichler_Levine-Ch5.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Ch. 5: A Learning Agenda</span></font></a> </span></font></p>
<p style="MARGIN-LEFT: 0.75in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.cgdev.org/doc/books/PBI/05b_CGD_Eichler_Levine-Pt2Intro.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Part II: Case Studies</span></font></a> </span></font></p>
<p style="MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Courier New" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Courier New'"><span>o<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.cgdev.org/doc/books/PBI/06_CGD_Eichler_Levine-Ch6.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Ch. 6: Latin America: Cash Transfers to Support Better Household Decisions</span></font></a><br>
Amanda Glassman, Jessica Todd, and Marie Gaarder </span></font></p>
<p style="MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Courier New" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Courier New'"><span>o<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.cgdev.org/doc/books/PBI/07_CGD_Eichler_Levine-Ch7.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Ch. 7: United States: Orienting Pay-for-Performance to Patients</span></font></a><br>
Kevin Volpp and Mark Pauly </span></font></p>
<p style="MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Courier New" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Courier New'"><span>o<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.cgdev.org/doc/books/PBI/08_CGD_Eichler_Levine-Ch8.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Ch. 8: Afghanistan: Paying NGOs for Performance in a Postconflict Setting</span></font></a><br>
Egbert Sondorp, Natasha Palmer, Lesley Strong, and Abdul Wali </span></font></p>
<p style="MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Courier New" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Courier New'"><span>o<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.cgdev.org/doc/books/PBI/09_CGD_Eichler_Levine-Ch9.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Ch. 9: Haiti: Going to Scale with a Performance Incentive Model</span></font></a><br>
Rena Eichler, Paul Auxila, Uder Antoine, and Bernateau Desmangles </span></font></p>
<p style="MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Courier New" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Courier New'"><span>o<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.cgdev.org/doc/books/PBI/10_CGD_Eichler_Levine-Ch10.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Ch. 10: Rwanda: Performance-Based Financing in the Public Sector</span></font></a><br>
Louis Rusa, Miriam Schneidman, Gyuri Fritsche, and Laurent Musango </span></font></p>
<p style="MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Courier New" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Courier New'"><span>o<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.cgdev.org/doc/books/PBI/11_CGD_Eichler_Levine-Ch11.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Ch. 11: Nicaragua: Combining Demand- and Supply-Side Incentives</span></font></a><br>
Ferdinando Regalía and Leslie Castro </span></font></p>
<p style="MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Courier New" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: 'Courier New'"><span>o<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.cgdev.org/doc/books/PBI/12_CGD_Eichler_Levine-Ch12.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Ch. 12: Worldwide: Incentives for Tuberculosis Diagnosis and Treatment</span></font></a><br>
Alexandra Beith, Rena Eichler, and Diana Weil </span></font></p>
<p style="MARGIN-LEFT: 0.75in; TEXT-INDENT: 0.25in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.cgdev.org/doc/books/PBI/13_CGD_Eichler_Levine-Index.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Index</span></font></a> </span></font></p>
<h3 style="BACKGROUND: #eeeeff; MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Related Content</span></font></b></h3>
<p style="BACKGROUND: #eeeeff; MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Download the <a href="http://www.cgdev.org/doc/books/PBI/PBI_launch_slides.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">slides</span></font></a> from the launch event </span></font></p>
<p style="BACKGROUND: #eeeeff; MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Watch the <a href="http://www.cgdev.org/content/publications/detail/1422178/#video%23video" target="_blank"><font color="navy"><span style="COLOR: navy">video</span></font></a></span></font></p>
<p style="BACKGROUND: #eeeeff; MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Download the <a href="http://www.cgdev.org/files/1422185_file_CGDEV_Brief_PBI_web.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Performance Incentives brief</span></font></a></span></font></p>
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