From close to a decade of experience in working on Tuberculosis (TB) in India, I have noticed a constant refrain from the stories and narratives of the TB affected: ‘we didn’t know anything about TB.’ An equally common connected complaint is: ‘we were never provided the relevant information needed to fight TB.’ Why do patients […]
Category: Health System
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 […]
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 […]
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 […]
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 […]
R N Karuga: “Building a resilient and responsive health system needs strong community support”
“Forget about these people in the national office,” said Maria (not her real name). “They are not in touch with reality!” Maria is a district health manager in Kenya. This was her response when I asked how closely she works with the national Ministry of Health in delivering community health services. In 2013, the governance […]