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Performance-based payment to improve the impact of health services: evidence from Haiti
Payment by results in Haiti healthcare
Authors:
R. Eichler; P. Auxila; J. Pollock
Publisher:
Flagship Programme on Health Sector Reform and Sustainable Financing, World Bank, 2001
This article emphasises that holding health institutions accountable for achieving explicitly defined results by linking reimbursement to results can be a powerful strategy to improve health system performance.
The article finds that in Haiti, USAID introduced performance-based payment as the mechanism to pay nongovernmental organizations after a population-based survey identified poor performance in NGO services This pilot study, which involved three NGOs for one year, showed marked improvements in immunization coverage and positive changes in organizational behavior.
