The cost-effectiveness of using performance-based financing to deliver the basic package of health services in Afghanistan.

ABSTRACT: Performance-based financing (PBF) is a mechanism to improve the quality and the utilisation of health benefit packages. There is a dearth of economic evaluations of PBF in the 'real world'. Afghanistan implemented PBF between 2010 and 2015 and evaluated the programme using a pragmatic cluster-randomised control trial. We conducted a cost-effectiveness analysis of the PBF programme in Afghanistan, compared with the standard of care, from the provider payer's perspective. The incremental cost-effectiveness ratio of PBF compared with the standard of care was US$1242 per disability-adjusted life year averted; not cost-effective when compared with an opportunity cost threshold of US$349. Incentive payments were the main contributor to PBF financial cost (70%) followed by data verification (23%)

SUBMITTER: Salehi AS 

PROVIDER: S-EPMC7507335 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature