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  • 1
    Online Resource
    Online Resource
    Looking into the Performance-Based Financing Black Box : Evidence from an Impact Evaluation in the Health Sector in Cameroon (2017)
    Washington, D.C. :The World Bank,
    Details
    UID:
    almafu_9958282590502883
    Format: 1 online resource (82 pages)
    Series Statement: Policy research working papers.
    Content: Performance-based financing is a complex health system intervention aimed at improving coverage and quality of care. This paper presents the results of an impact evaluation in Cameroon that seeks to isolate the role of specific components of the performance-based financing approach on outcomes of interest, such as explicit financial incentives linked to results, additional resources available at the point of service delivery (not linked to performance), and enhanced supervision, coaching, and monitoring. Four evaluation groups were established to measure the effects of each component that was studied. In general, the results indicate that performance-based financing in Cameroon is an efficient mechanism to channel payments and funding to the provider level, leading to significant increases in utilization in the performance-based financing arm for several services (child and maternal vaccinations and use of modern family planning), but not for others, such as antenatal care visits and facility-based deliveries. However, for many of those outcomes, the differences between the performance-based financing group and the additional financing group are not significant. In terms of quality, performance-based financing was found to have a significant impact on the availability of essential inputs and equipment, qualified health workers, reduction in formal and informal user fees, and increased satisfaction among patients and providers. However, there was a clear effect of additional financing, irrespective of whether it was linked to incentives, in combination with reinforced supervision through performance-based financing. This result suggests that enhanced supervision and monitoring on their own are not sufficient to improve maternal and child health outcomes.
    Language: English
    DOI: 10.1596/1813-9450-8162
    URL: Volltext  (Deutschlandweit zugänglich)
    URL: Volltext  (kostenfrei)
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    Fulltext
    FU Berlin
    UB Potsdam
    EUV Frankfurt
    HTW Berlin
    Charité
    MPI Bildungsforschung
  • 2
    Online Resource
    Online Resource
    Mortality Costs of and Policy Responses to the COVID-19 Pandemic in Cote D'ivoire (2024)
    Washington, D.C : The World Bank
    Details
    UID:
    gbv_1885607512
    Format: 1 Online-Ressource (20 Seiten) , Diagramme
    Series Statement: Policy Research Working Paper 10731
    Content: Cote d'Ivoire, the largest economy in the West African Economic and Monetary Union, was hit by COVID-19, which claimed many lives. This paper estimates COVID-19 mortality costs over time using the value of a statistical life. Using a more conservative estimate of the value of a statistical life income elasticity ranging from 1 to 1.4, the overall COVID-19 mortality costs in Cote d'Ivoire since the pandemic range from USD 100.4 million to USD 284.3 million. Considering age-related adjustments, a 3 percent discount rate, and a value of a statistical life income elasticity of 1 to 1.4, the COVID-19 costs range from USD 5.4 million to USD 15.3 million. Similarly, the COVID-19 mortality costs range from USD 6.8 million to USD 19.3 million with a 5 percent discount rate and a value of a statistical life income elasticity of 1 to 1.4. More significantly, the findings suggest that COVID-19 mortality costs started to decline in 2021. To enhance prevention, preparedness, and response to future pandemics, policy makers could consider allocating pandemic funding within national budgets. Exploring potential partnerships with philanthropic organizations and international entities could further enhance domestic resource matching efforts
    Note: Literaturverzeichnis, Literaturhinweise, Tabellen
    Additional Edition: Erscheint auch als Druck-Ausgabe Donfouet, Hermann Pythagore Pierre Mortality Costs of and Policy Responses to the COVID-19 Pandemic in Cote D'ivoire Washington, D.C. : The World Bank, 2024
    Language: English
    DOI: 10.1596/1813-9450-10731
    URL: kostenfrei
    URL: Deutschlandweit zugänglich
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    UB Potsdam
    MPI Bildungsforschung
  • 3
    Online Resource
    Online Resource
    Looking into the Performance-Based Financing Black Box : Evidence from an Impact Evaluation in the Health Sector in Cameroon (2017)
    Washington, D.C. :The World Bank,
    Details
    UID:
    edoccha_9958282590502883
    Format: 1 online resource (82 pages)
    Series Statement: Policy research working papers.
    Content: Performance-based financing is a complex health system intervention aimed at improving coverage and quality of care. This paper presents the results of an impact evaluation in Cameroon that seeks to isolate the role of specific components of the performance-based financing approach on outcomes of interest, such as explicit financial incentives linked to results, additional resources available at the point of service delivery (not linked to performance), and enhanced supervision, coaching, and monitoring. Four evaluation groups were established to measure the effects of each component that was studied. In general, the results indicate that performance-based financing in Cameroon is an efficient mechanism to channel payments and funding to the provider level, leading to significant increases in utilization in the performance-based financing arm for several services (child and maternal vaccinations and use of modern family planning), but not for others, such as antenatal care visits and facility-based deliveries. However, for many of those outcomes, the differences between the performance-based financing group and the additional financing group are not significant. In terms of quality, performance-based financing was found to have a significant impact on the availability of essential inputs and equipment, qualified health workers, reduction in formal and informal user fees, and increased satisfaction among patients and providers. However, there was a clear effect of additional financing, irrespective of whether it was linked to incentives, in combination with reinforced supervision through performance-based financing. This result suggests that enhanced supervision and monitoring on their own are not sufficient to improve maternal and child health outcomes.
    Language: English
    DOI: 10.1596/1813-9450-8162
    Library Location Call Number Volume/Issue/Year Availability
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    Online Resource
    Open Access Request
    Charité
  • 4
    Online Resource
    Online Resource
    Looking into the Performance-Based Financing Black Box : Evidence from an Impact Evaluation in the Health Sector in Cameroon (2017)
    Washington, D.C. :The World Bank,
    Details
    UID:
    edocfu_9958282590502883
    Format: 1 online resource (82 pages)
    Series Statement: Policy research working papers.
    Content: Performance-based financing is a complex health system intervention aimed at improving coverage and quality of care. This paper presents the results of an impact evaluation in Cameroon that seeks to isolate the role of specific components of the performance-based financing approach on outcomes of interest, such as explicit financial incentives linked to results, additional resources available at the point of service delivery (not linked to performance), and enhanced supervision, coaching, and monitoring. Four evaluation groups were established to measure the effects of each component that was studied. In general, the results indicate that performance-based financing in Cameroon is an efficient mechanism to channel payments and funding to the provider level, leading to significant increases in utilization in the performance-based financing arm for several services (child and maternal vaccinations and use of modern family planning), but not for others, such as antenatal care visits and facility-based deliveries. However, for many of those outcomes, the differences between the performance-based financing group and the additional financing group are not significant. In terms of quality, performance-based financing was found to have a significant impact on the availability of essential inputs and equipment, qualified health workers, reduction in formal and informal user fees, and increased satisfaction among patients and providers. However, there was a clear effect of additional financing, irrespective of whether it was linked to incentives, in combination with reinforced supervision through performance-based financing. This result suggests that enhanced supervision and monitoring on their own are not sufficient to improve maternal and child health outcomes.
    Language: English
    DOI: 10.1596/1813-9450-8162
    Library Location Call Number Volume/Issue/Year Availability
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    Online Resource
    Open Access Request
    FU Berlin
  • 5
    Online Resource
    Online Resource
    A Call to Support Francophone African Countries to End the Tremendous Suffering from NTDs (2018)
    World Bank, Washington, DC
    Details
    UID:
    gbv_1759607894
    Format: 1 Online-Ressource
    Series Statement: Health, Nutrition and Population Knowledge Brief
    Content: Eighteen neglected tropical diseases (NTDs) and malaria account together for 22 percent of the total burden of communicable diseases in 25 Francophone African countries (FPACs). The cumulative impact of NTDs decreases the quality of life of households, slows economic growth, and results in millions of dollars in lost economic productivity annually. Of the 18 NTDs, 5 can be controlled by preventive chemotherapy (PC) through safe mass drug administration (MDA). In 2017, the WB launched the deworming Africa initiative (DAI), with the purpose of raising the profile of NTDs control and elimination efforts among endemic Sub-Saharan African (SSA) countries to eliminate NTDs as a public health threat. DAI’s strategy seeks to reduce the burden of NTDs in 3 key population groups that mostly impact on human capital: young children (12 to 23 months), pregnant women, and school-age children (SAC) (5 to 14 years of age). To achieve this objective in a sustainable way, DAI supports country efforts to strengthen the coordinated engagement of the health, education, water, sanitation, and hygiene (WASH) and economic sectors with a national prevention and control strategy. Multisectoral collaboration between Ministries of economy, health, education, and WASH is a promising approach to maximize national resources towards the long-term sanitary and financial objectives of reducing NTDs in SSA
    Note: Africa , Sub-Saharan Africa , English
    Language: English
    URL: kostenfrei
    URL: kostenfrei
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    Online Resource
    Stabi Berlin
  • 6
    Online Resource
    Online Resource
    Looking into the Performance-Based Financing Black Box : Evidence from an Impact Evaluation in the Health Sector in Cameroon (2017)
    World Bank, Washington, DC
    Details
    UID:
    gbv_1759639141
    Format: 1 Online-Ressource
    Series Statement: Policy Research Working Paper No. 8162
    Content: Performance-based financing is a complex health system intervention aimed at improving coverage and quality of care. This paper presents the results of an impact evaluation in Cameroon that seeks to isolate the role of specific components of the performance-based financing approach on outcomes of interest, such as explicit financial incentives linked to results, additional resources available at the point of service delivery (not linked to performance), and enhanced supervision, coaching, and monitoring. Four evaluation groups were established to measure the effects of each component that was studied. In general, the results indicate that performance-based financing in Cameroon is an efficient mechanism to channel payments and funding to the provider level, leading to significant increases in utilization in the performance-based financing arm for several services (child and maternal vaccinations and use of modern family planning), but not for others, such as antenatal care visits and facility-based deliveries. However, for many of those outcomes, the differences between the performance-based financing group and the additional financing group are not significant. In terms of quality, performance-based financing was found to have a significant impact on the availability of essential inputs and equipment, qualified health workers, reduction in formal and informal user fees, and increased satisfaction among patients and providers. However, there was a clear effect of additional financing, irrespective of whether it was linked to incentives, in combination with reinforced supervision through performance-based financing. This result suggests that enhanced supervision and monitoring on their own are not sufficient to improve maternal and child health outcomes
    Note: Africa , Cameroon , English , en_US
    Language: English
    URL: kostenfrei
    URL: kostenfrei
    Library Location Call Number Volume/Issue/Year Availability
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    Online Resource
    Stabi Berlin
  • 7
    Online Resource
    Online Resource
    Looking into the performance-based financing black box : Evidence from an impact evaluation in the health sector in Cameroon (2021)
    Oxford University Press
    Details
    UID:
    gbv_1806284499
    Format: 1 Online-Ressource
    Content: Performance-based financing (PBF) is a complex health systems intervention aimed at improving the coverage and quality of care. Several studies have shown a positive impact of PBF on health service coverage, often coupled with improvements in quality, but relatively little is known about the mechanisms driving those results. This article presents results of a randomized impact evaluation in Cameroon designed to isolate the role of specific components of the PBF approach with four study groups: (i) PBF with explicit financial incentives linked to results, (ii) direct financing with additional resources available for health providers not linked to performance, (iii) enhanced supervision and monitoring without additional resources and (iv) a control group. Overall, results indicate that, when compared with the pure control group, PBF in Cameroon led to significant increases in utilization for several services (child and maternal vaccinations, use of modern family planning), but not for others like antenatal care visits and facility-based deliveries. In terms of quality, PBF increased the availability of inputs and equipment, qualified health workers, led to a reduction in formal and informal user fees but did not affect the content of care. However, for many positively impacted outcomes, the differences between the PBF group and the group receiving additional financing not linked to performance are not significant, suggesting that additional funding rather than the explicit incentives might be driving improvements. In contrast, the intervention group offering enhanced supervision, coaching and monitoring without additional funding did not experience significant impacts compared to the control group
    Note: Africa , Africa , Africa Eastern and Southern (AFE) , Africa Western and Central (AFW) , Cameroon
    Language: Undetermined
    URL: kostenfrei
    URL: kostenfrei
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    Stabi Berlin
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