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Can performance-based incentives to facilities that deliver health services improve health results in low-income settings? An example of paying for performance in Haiti is being documented along with other experiences as part of the Center for Global Development’s Working Group on Performance-Based Incentives which aims to draw lessons about whether paying for improvements in health works to increase coverage and quality of health services in low-income countries. Starting in 1999 as part of a USAID-funded health project in Haiti, payment to contracted NGO health service providers changed from reimbursement for documented expenditures to payment partly determined by whether performance targets are reached. Remarkable improvements in key health indicators have been achieved over the six years that payment for performance has been phased in.
Paul Auxila, Chief of Party, Haiti Health Systems Project, Management Sciences for Health, and Rena Eichler, President, Broad Branch Associates presented at this brown bag seminar, along with discussant Karen Cavanaugh, Health Systems Advisor, U.S. Agency for International Development. Ruth Levine, Director of Programs and Senior Fellow, Center for Global Development moderated this discussion.