Performance-based financing in low-income and middle-income countries: isn’t it time for a rethink?

  title={Performance-based financing in low-income and middle-income countries: isn’t it time for a rethink?},
  author={Elisabeth Paul and Lucien Albert and Badibanga N'Sambuka Bisala and Oriane Bodson and Emmanuel Bonnet and Paul B. M. Bossyns and Sandro Colombo and Vincent De Brouwere and Alexandre Dumont and Dieudonn{\'e} S{\`e}djro Eclou and Karel Gyselinck and Fatoumata Hane and Bruno Marchal and Remo Meloni and Mathieu Noirhomme and Jean-Pierre Noterman and Gorik Ooms and Oumar Mall{\'e} Samb and Freddie Ssengooba and Laurence Tour{\'e} and Anne-Marie Turcotte-Tremblay and Sara Van Belle and Philippe Vinard and Val{\'e}ry Ridde},
  booktitle={BMJ global health},
This paper questions the view that performance-based financing (PBF) in the health sector is an effective, efficient and equitable approach to improving the performance of health systems in low-income and middle-income countries (LMICs). PBF was conceived as an open approach adapted to specific country needs, having the potential to foster system-wide reforms. However, as with many strategies and tools, there is a gap between what was planned and what is actually implemented. This paper argues… CONTINUE READING
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