Impacts of performance-based financing on health system performance: evidence from the Democratic Republic of Congo.

ABSTRACT:

Background

Health systems' weakness remains one of the primary obstacles towards achieving universal access to quality healthcare in low-income settings. Performance-based financing (PBF) programs have been increasingly used to increase access to quality care in LMICs. However, evidence on the impacts of these programs remains fragmented and inconclusive. We analyze the health system impacts of the PBF program in the Democratic Republic of the Congo (DRC), one of the largest such programs introduced in LMICs to date.

Methods

We used a health systems perspective to analyze the benefits of PBF relative to unconditional financing of health facilities. Fifty-eight health zones in six provinces were randomly assigned to either a control group (28 zones) in which facilities receiv

SUBMITTER: Shapira G 

PROVIDER: S-EPMC10552286 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature