Cost-Effectiveness Analysis of Results-Based Financing Programs

Shepard, Donald; Zeng, Wu; Nguyen, Ha Thi Hong

Cost-Effectiveness Analysis of Results-Based Financing Programs

2015

Shepard, Donald | Zeng, Wu | Nguyen, Ha Thi Hong

Results-based financing (RBF), which rewards providers, users, or administrators of services upon achieving a set of verified results, has been gaining attraction in global health as a prominent approach to gain value for money. With a large number of countries adopting RBF in the recent years, evidence starts to emerge which points to the effectiveness of RBF in improving coverage and quality of important services, such as maternal and child health and reproductive health. The current toolkit aims to support country programs to assess the cost-effectiveness of RBF interventions and to facilitate cross-country comparisons of RBF programs. The toolkit is specifically tailored to supply-side RBF but its general principles apply to most health systems interventions directed at the health-related millennium development goals (MDGs). The development of the toolkit was based on actual experience of conducting a cost effectiveness analysis of Zambia’s RBF program and an extensive review of RBF programs features across the health results innovation trust fund (HRITF) portfolio. Given that RBF programs in the HRITF portfolio are typically complex health system interventions, the toolkit recommends a practical approach of adopting a program implementer’s perspective and presents different options for cost-effectiveness analysis (for selected key indicators or for an entire package of services). It also provides guidance on incorporating quality of care, which is strongly emphasized across many RBF programs.

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Mots clés AGROVOC

abortion birth rate budgets child health children costs death death rate decision making demand disease control epidemiology equity evaluation family planning financing fixed costs folic acid health health care health economics health services hiv/aids hospitals immunization immunodeficiency implementation incentives income insurance internet iron knowledge measurement medical equipment medicines millennium development goals morbidity mortality nutrition patient patients population poverty pregnancy pregnant women public health quality of life registration reproductive health screening tuberculosis vaccination weight workers

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Hepatitis b; Hospital costs; Care; Health centers; Health strategy; Health equipment; Birth attendant; Disability; Counselling; Surgery; Health policy; Health status; Expenditures; Primary health care services; Syphilis; Prevention; Health specialist; Health projects; Community health; Postnatal care; Fees; Service utilization; General practice; Health effects; Policy makers; Limited resources; Cost effectiveness; Obstetrical care; Health systems strengthening; Health systems; Inpatient care; Life expectancy; Primary health care; Health service; Quality of care; Counseling; Health system; Deaths; Quality of health care; Childbirth; Choice; Health care services; Intervention; Health interventions; Health programs; Impact of quality of care; Preventive treatment; Disabilities; Quality of health; Incidence; Policy; Health management; Health consequences; Illness; Condoms; Health sector; Strategy; Impact evaluations; Polio vaccine; Hospital records; Hospitalization; Risks; Health outcomes; Medical records; Health facilities; Polio; Child health services; Cleanliness; Development goals; Global health; Social policy; Provider payment; Antenatal care; Health results; Burden of disease; Health organization

Langue

anglais

Sur AGRIS depuis: 2021-06-15

Format: AGRIS AP

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Liens

http://hdl.handle.net/10986/22774

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