Effects of performance based financing on facility autonomy and accountability: Evidence from Zambia.

ABSTRACT: Several low and lower- middle income countries have been using Performance-Based Financing (PBF) to motivate health workers to increase the quantity and quality of health services. Studies have demonstrated that PBF can contribute to improved health service delivery and health outcomes, but there is limited evidence on the mechanisms through which PBF can necessitate changes in the health system. Using difference-in-difference and synthetic control analytical approaches, we investigated the effect of PBF on autonomy and accountability at service delivery level using data from a 3-arm cluster randomised trial in Zambia. The arms consisted of PBF where financing is linked to outputs in terms of quality and quantity (intervention 1), input financing where funding is fully provided to finance

SUBMITTER: Chama-Chiliba CM 

PROVIDER: S-EPMC10297809 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature