• Corpus ID: 7571262

Performance-based payment to improve the impact of health services: evidence from Haiti.

@inproceedings{Eichler2001PerformancebasedPT,
  title={Performance-based payment to improve the impact of health services: evidence from Haiti.},
  author={Rena Eichler and Paul Auxila and John Pollock},
  year={2001}
}

• R. Eichler, P. Auxila, J. Pollock
• Published 2001
• Medicine, Political Science

Holding health institutions accountable for achieving explicitly defined results by linking reimbursement to results can be a powerful strategy to improve health system performance. In Haiti USAID introduced performance-based payment as the mechanism to pay nongovernmental organizations after a population-based survey identified poor performance in NGO services. Examples of poor performance included immunization coverage of 7% and contraceptive prevalence rates as low as 6%. Rather than the previous system that reimbursed NGOs for documented expenditures up to a ceiling performance increase targets were established and a portion of the historically funded budget received by NGOs was withheld. NGOs had the opportunity to earn back the withheld amount plus a bonus if these performance targets were reached. This pilot study which involved three NGOs for one year showed marked improvements in immunization coverage and positive changes in organizational behavior. (authors)