Poised to strike: global plan to tackle snakebite demands urgent action

Imagine it is twilight and you are walking back to your village after a long day working in the fields. Suddenly you feel acute pain in your calf. Out of the corner of your eye you see a flash of movement: a snake. Was it a cobra? A viper? Or a less harmful species? You […]

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We need to question all ‘donor fads’, not only performance-based financing

By Shola Molemodile I applaud Paul and colleagues, authors of the recent BMJ Global Health paper on performance-based financing in low-income and middle-income countries (LMICs), for being bold. We need more daring authors in health systems and global health, who are unafraid to state the obvious as these authors have done. While many may be […]

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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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