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Stronger health systems. reater health impact. Performance ...€¦ · Stronger health systems....
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Stronger health systems. Greater health impact. Fact Sheet MSH expands access to high-quality, efficient health care services by providing incentives to providers and facilities, thus improving health system performance and management. Since the mid-1990s, MSH has designed, implemented, and supported performance-based financing of health programs to focus on investing in results rather than processes. Performance-based financing (PBF) is a powerful management approach to increase the quantity and quality of health services by providing incentives to service providers to improve performance. PBF focuses on the achievement of measurable outputs or outcomes rather than (traditional) inputs or processes in the health sector. In pursuit of the Millennium Development Goals and other important health initiatives, PBF can increase use and quality of health care services, stabilize or decrease costs of these services, help use limited resources effectively, and improve staff motivation and morale. The MSH Approach MSH manages performance-based grants and contracts and provides technical assistance to governments, private organizations, and funding agencies to develop and implement their own initiatives. These programs align with donor requirements and local circumstances and maximize synergy by sharing tools, approaches, and systems. MSH relies on a range of approaches, including managed care, provider payment methods, conditional cash transfers, non-project assistance, social insurance, and user fees; all of which are performance-based approaches. We Improve Service Delivery PBF is a mechanism to direct resource flows to high impact health services, so that populations seeking care are met with competent and motivated service delivery providers who are able to deliver that care. PBF is used to improve health program effectiveness and equity and to target specific results—particularly priority interventions that improve the health of women and children—and enhance sustainability, transparency, and ownership of country health systems. By implementing PBF, we increase demand and influence changes for improved structure and functioning of health care provision. We Strengthen the Use of Health Information MSH supports the design of national health information systems and the use of health data and information, particularly for health service performance assessment and improvement. MSH’s PBF implementation requires measurable performance targets, well-defined reporting mechanisms, and rigorous monitoring to ensure accountability and results. Capacity building focuses on the collection, analysis, and use of accurate data to make evidence-based decisions. Performance-Based Financing
Transcript of Stronger health systems. reater health impact. Performance ...€¦ · Stronger health systems....
Stronger health systems. Greater health impact.
Fact Sheet
MSH expands access to high-quality, efficient health care services by providing incentives to providers and facilities, thus improving health system performance and management.
Since the mid-1990s, MSH has designed, implemented, and supported performance-based financing of health programs to focus on investing in results rather than processes.
Performance-based financing (PBF) is a powerful management approach to increase the quantity and quality of health services by providing incentives to service providers to improve performance. PBF focuses on the achievement of measurable outputs or outcomes rather than (traditional) inputs or processes in the health sector. In pursuit of the Millennium Development Goals and other important health initiatives, PBF can increase use and quality of health care services, stabilize or decrease costs of these services, help use limited resources effectively, and improve staff motivation and morale.
The MSH ApproachMSH manages performance-based grants and contracts and provides technical assistance to governments, private organizations, and funding agencies to develop and implement their own initiatives. These programs align with donor requirements and local circumstances and maximize synergy by sharing tools, approaches, and systems. MSH relies on a range of approaches, including managed care, provider payment methods, conditional cash transfers, non-project assistance, social insurance, and user fees; all of which are performance-based approaches.
We Improve Service DeliveryPBF is a mechanism to direct resource flows to high impact health services, so that populations seeking care are met with competent and motivated service delivery providers who are able to deliver that care. PBF is used to improve health program effectiveness and equity and to target specific results—particularly priority interventions that improve the health of women and children—and enhance sustainability, transparency, and ownership of country health systems. By implementing PBF, we increase demand and influence changes for improved structure and functioning of health care provision.
We Strengthen the Use of Health Information MSH supports the design of national health information systems and the use of health data and information, particularly for health service performance assessment and improvement. MSH’s PBF implementation requires measurable performance targets, well-defined reporting mechanisms, and rigorous monitoring to ensure accountability and results. Capacity building focuses on the collection, analysis, and use of accurate data to make evidence-based decisions.
Performance-Based Financing
Fact Sheet
Management Sciences for Health : 784 Memorial Drive, Cambridge, MA 02139 United States : Tel +1.617.250.9500 : www.msh.org
Expanding PBF in Both Private and Public SectorsWith funding from the US Agency for International Development (USAID), MSH has managed PBF programs in Haiti since 1999. Working through performance-based grants with 27 NGOs, and more recently the public sector, the program supports 147 health facilities in all 10 of Haiti’s districts. The supported facilities provide nearly half of Haiti’s population with access to basic health services.
PBF in Fragile States MSH uses PBF as a tool to improve service delivery and the health of populations in some of the most challenging post-conflict settings, including Afghanistan, Haiti, Liberia, and South Sudan.
USAID-funded Sudan Health Transformation Project—Phase II (SHTP-II) uses an performance-based approach to improve the quality of health care and health services in an environment that is transitioning from instability and relief to one of stable development. SHTP II’s objectives are to expand access and coverage by enhancing quality of health services through an integrated package of high-impact services, by increasing demand through community mobilization, and by engendering the community’s confidence in health services through strengthening of county health departments and the Ministry of Health (MOH).
PBF Works across Multiple Health AreasMSH has implemented PBF programs across multiple and diverse health issues: HIV and AIDS; primary health care; maternal, newborn, and child health; family planning and reproductive health; and child survival. In Uganda, MSH will help strengthen maternal and child health services in 15 districts by managing performance-based grants to local organizations and results-oriented agreements with public sector staff at the district level.
Using PBF in Rwanda to Combat the AIDS Epidemic In Rwanda, MSH managed USAID’s flagship PBF project to address HIV and AIDS. The project team worked with the Rwandan MOH for the national scale-up and institutionalization of PBF initiatives that fund performance-based incentives for community health workers and health providers in health centers and hospitals for providing quality health services. The project contracted directly with 85 health facilities to finance HIV and AIDS. The project developed a Web-based system to manage data and process PBF funds, including those from the World Bank, the Rwandan Government, and the Belgian Technical Cooperation and other US collaborating agencies.
RESULTS
People:
Improving Voluntary Counseling and Testing in Rwanda—In nine months, the number of HIV tests administered in MSH-supported PBF testing sites increased by 155 percent and the cost per test decreased by 53 percent.
Medicines:
Immunized Children in Haiti—Ninety-two percent of children in areas served by MSH-supported health facilities have been vaccinated with DTP3; WHO estimates the national average is 53 percent.
Information:
Using Data to Drive Decision-Making—MSH-supported service delivery sites in all projects actively use their regularly collected data to understand disease trends in their catchment populations, identify gaps in service delivery strategies, and formulate creative solutions to achieve their targets.
For additional information, go to www.msh.org, or contact Jean Kagubare, Principal Technical Advisor, at +1.617.250.9177 or at [email protected].
Performance-Based Financing
MSH’s Work in Performance-Based Financing Includes:
Africa: Burkina Faso, Burundi, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Liberia, Madagascar, Malawi, Mauritania, Niger, Rwanda, South Africa, Uganda, Togo, Zambia
Asia: Afghanistan, Philippines
Latin America and Caribbean: Haiti, Honduras, Nicaragua
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Management Sciences for Health : 784 Memorial Drive, Cambridge, MA 02139 United States : Tel +1.617.250.9500 : www.msh.org
