[EQ] Performance Incentives for Global Health: Potential and Pitfalls

de: Ruggiero, Mrs. Ana Lucia (WDC) - ruglucia@paho.org
para: EQUIDAD@listserv.paho.org
fecha: 24 de junio de 2009 12:28
asunto: [EQ] Performance Incentives for Global Health: Potential and Pitfalls

Performance Incentives for Global Health: Potential and Pitfalls
Rena Eichler, Ruth Levine, and the Performance-Based Incentives Working Group
Center for Global Development, 2009


Available online at: http://www.cgdev.org/content/publications/detail/1422178/


“…..explore a new approach to health funding—the transfer of money or goods to patients or providers when they take health-related actions or achieve performance targets. Donors have traditionally paid for inputs—doctors’ salaries, medical equipment—in the hope that they would lead to better health. Performance incentives turn the equation on its head. They start with the result—more children immunized, for example—and let health workers and managers on the ground decide how to achieve them.
Performance Incentives for Global Health documents a host of experiences with incentives for maternal and child health care, tuberculosis, child nutrition, HIV/AIDS, chronic conditions and more. An accompanying short video (below) illustrates the use of performance incentives in Rwanda and Haiti and shares the perspectives of patients and health care workers. The evidence strongly suggests that incentives can improve health and strengthen health systems in a variety of settings.
As decision makers in developing countries and their donor partners look for practical ways to improve health-sector performance, real-world experiences show that they should look to performance incentives to complement increasing total spending on health.


Contents


Front Matter
Part I: More Health for the Money
Rena Eichler and Ruth Levine
o Ch. 1: Money into Health
o Ch. 2: Problems to Solve
o Ch. 3: Using Performance Incentives
o Ch. 4: Making Payment for Performance Work
o Ch. 5: A Learning Agenda
Part II: Case Studies
o Ch. 6: Latin America: Cash Transfers to Support Better Household Decisions
Amanda Glassman, Jessica Todd, and Marie Gaarder
o Ch. 7: United States: Orienting Pay-for-Performance to Patients
Kevin Volpp and Mark Pauly
o Ch. 8: Afghanistan: Paying NGOs for Performance in a Postconflict Setting
Egbert Sondorp, Natasha Palmer, Lesley Strong, and Abdul Wali
o Ch. 9: Haiti: Going to Scale with a Performance Incentive Model
Rena Eichler, Paul Auxila, Uder Antoine, and Bernateau Desmangles
o Ch. 10: Rwanda: Performance-Based Financing in the Public Sector
Louis Rusa, Miriam Schneidman, Gyuri Fritsche, and Laurent Musango
o Ch. 11: Nicaragua: Combining Demand- and Supply-Side Incentives
Ferdinando Regalía and Leslie Castro
o Ch. 12: Worldwide: Incentives for Tuberculosis Diagnosis and Treatment
Alexandra Beith, Rena Eichler, and Diana Weil
Index
Related Content
· Download the slides from the launch event
· Watch the video
· Download the Performance Incentives brief