Performance-based payment to improve the impact of health services: evidence from Haiti

Performance-based payment to improve the impact of health services: evidence from Haiti

Payment by results in Haiti healthcare

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.

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