Abt Associates Inc. In collaboration with: Aga Khan Foundation BearingPoint Bitrán y Asociados BRAC University Broad Branch Associates Forum One Communications RTI International Tulane University’s School of Public Health Training Resources Group Catalyzing Maternal and Child Health Results by Paying for Performance: Evidence from Developing Countries Catherine Connor and Rena Eichler Health Systems 20/20 Project 15 November 2010 Health Systems Research Symposium
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Abt Associates Inc. In collaboration with: Aga Khan Foundation BearingPoint Bitrán y Asociados BRAC University Broad Branch Associates Forum One Communications.
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Abt Associates Inc. In collaboration with: Aga Khan Foundation BearingPoint Bitrán y Asociados BRAC University Broad Branch Associates Forum One Communications RTI International Tulane University’s School of Public Health Training Resources Group
Catalyzing Maternal and Child Health Results by Paying for Performance: Evidence from Developing Countries
Catherine Connor and Rena Eichler
Health Systems 20/20 Project15 November 2010Health Systems Research Symposium
What does pay for performance have to do with reaching universal coverage?
Feasibility of Insurance Design and Implementation
Monitoring and Evaluation
Financing
options
Benefits
package
Pop Covera
ge
Opera-tions
Organiza-
tional structur
e
Provider
engage-ment
Incentives to use priority
services
Pay providers for quality or
efficiency
Incentives to cover hard-to-reach populations
Presentation Objectives
What is Pay for Performance?
Highlights from on-line survey of country experiences
Expanding access for maternal and child health results: the case of Burundi
What we mean by P4P
Funds, Goods, Other
PayerDonars. Govenment, NGOs Health Programs, Insurers
RecipientPatients or Families
Service Providers (facility or health worker) NGO or program implementerGovernment - Local or National
Number of women using contraceptive methods doubles
Burundi Results – Kibuye Province
Using P4P to expand access in developing countries
Many different designs Focus on maternal and child health Majority are supply-side (provider) Some are demand-side (user) Clear need for more documentation to learn what is
working and learn how design and implementation challenges are being overcome
Abt Associates Inc. In collaboration with: Aga Khan Foundation BearingPoint Bitrán y Asociados BRAC University Broad Branch Associates Forum One Communications RTI International Tulane University’s School of Public Health Training Resources Group
Thank you
Reports related to this presentation are available at www.HS2020.org