Towards a more balanced rethinking of performance-based financing

By Maarten Oranje In a recently published paper in BMJ Global Health, a group of authors (Paul et al) challenged overly optimistic views on performance-based financing (PBF) in the health sector, and its implementation in low- and middle-income countries. While some of the issues they raised are legitimate, the paper paints an overall picture of […]

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Rethinking performance-based financing: sustainability must be part of the debate

By Priscilla N Owusu In the recent BMJ Global Health article Paul et al critique the notion that performance-based financing (PBF) is an effective approach to improving health service delivery in low- and middle-income countries (LMICs). They do so by highlighting concerns about the mixed evidence supporting the efficacy of the intervention.  Using Rwanda as […]

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The baby and the bathwater: can we have a more constructive debate on performance-based financing?

By Godelieve van Heteren Paul et al’s critique In a recent paper in BMJ Global Health, 24 authors (Paul et al) – the majority of whom are French-speaking academics and consultants from northern countries – declared that performance-based financing (PBF) in low- and middle-income country (LMIC) health systems needs an urgent rethink. They claim it is […]

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Addressing the global health funding gap: Italy needs to step up!

Dr Giorgia Sulis Low- and middle-income countries (LMICs) account for as much as 85% of the world population and over 90% of the global burden of disease, and mostly count on international donor funding for health, the average domestic health expenditure being lower than 12% (Figure 1). Although there has been a dramatic increase in […]

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