Verification of Performance in Results-Based Financing
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World Bank, Washington, DC
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The Ministry of Public Health in
Afghanistan implements a supply-side results-based financing
(RBF) scheme to improve the provision of a standardized
basic package of health services (BPHS) to its population.
Contracting NGOs and “contracting-in” MOPH providers, this
RBF program concentrates on high-priority maternal and child
health services in the BPHS such as antenatal care (ANC),
post-natal care (PNC), delivery care, nutrition,
immunization coverage, tuberculosis (TB), as well as quality
of care. It includes an intensive data verification method,
focusing on both the quantity and the quality of delivered
services, which was implemented between 2010 and 2013 by
international third party organizations. This verification
method was specifically used to ensure that providers reach
performance thresholds and disburse performance payments.
This case study describes the major characteristics of this
RBF verification method. Taking stock of the experience of
the MOPH, it aims at generating possible lessons for other
RBF initiatives, thereby expanding knowledge and making RBF
verification processes more efficient, sustainable and
effective. This case study also responds to concerns about
the future sustainability of RBF, particularly with regard
to the intensive and external nature of verification
Palabras clave
HEALTH CARE PROVIDERS, CHILD HEALTH, COMMUNITIES, RISKS, DATA ENTRY, E-MAIL, DOMAINS, HEALTH SERVICE DELIVERY, REPRODUCTIVE HEALTH, SUPERVISION, EQUIPMENT, VILLAGES, QUALITY OF SERVICES, REGISTRIES, FINANCING, FINANCIAL MANAGEMENT, MATERIALS, ANTENATAL CARE, INCOME, UNDER-FIVE MORTALITY, PREVENTION, GOVERNMENT FUNDING, NEEDS ASSESSMENT, COMMUNITY HEALTH, INFORMATION, SERVICES, MONITORING, HEALTH CARE, PRIVACY, COPYRIGHT, INCENTIVES, HEALTH, PARTNERSHIP AGREEMENTS, PROJECT, PATIENT INFORMATION, VERIFICATION, INFORMATION SYSTEMS, HEALTH FACILITIES, COMMUNITY PARTICIPATION, PUBLIC HEALTH, LIFE EXPECTANCY, QUALITY OF HEALTH, HEALTH SECTOR, KNOWLEDGE, HEALTH INFORMATION SYSTEMS, LINK, DATA, COSTS, TRAINING, IMMUNIZATION, PATIENT, PATIENTS, PERFORMANCE INDICATORS, INTERVENTION, HEALTH INDICATORS, NURSES, PROCUREMENT PROCESS, ACCESS TO HEALTH SERVICES, CONSULTANT, ACTION PLAN, HEALTH WORKFORCE, MATERIAL, TUBERCULOSIS, INTERVIEW, MENTAL HEALTH, MORTALITY, CAPABILITIES, TELEPHONE, HEALTH INFORMATION, DESIGN, TRANSACTIONS, PROJECT MANAGEMENT, RELIABILITY, HEALTH SPECIALIST, PROCUREMENT, INSPECTION, CONTACT INFORMATION, FINANCIAL TRANSACTIONS, PATIENT SATISFACTION, RESULTS, DESCRIPTION, KNOWLEDGE BASE, PARTICIPATION, CARE, GENDER, HEALTH POLICY, HOMES, HEALTH OUTCOMES, FAX, HOUSEHOLD, DECISION MAKING, INSTITUTIONAL CAPACITY, MEASUREMENT, NUTRITION, CONFIDENTIALITY, QUALITY CONTROL, QUERIES, PRIMARY HEALTH CARE, INTERNET, HEALTH RESULTS, HEALTH SYSTEM, RESULT, PHYSICIANS, COMMUNICABLE DISEASES, PREGNANT WOMEN, CHILDREN, SECURITY, PRIVACY CONCERNS, LICENSES, HOUSEHOLDS, RURAL AREAS, HEALTH EXPENDITURE, PERFORMANCE, INNOVATION, POPULATION, FACILITIES, INSTITUTION, PERSONAL SAFETY, FINANCIAL SUPPORT, TRAININGS, COMMUNICATION, COMMUNITY, STRATEGY, REGISTRATION, CHILD HEALTH SERVICES, COMMUNITY INVOLVEMENT, DATABASE, HOSPITALS, SAFETY, HEALTH SERVICE, FEMALE, HEALTH SERVICES, IMPLEMENTATION, PREGNANCY, TARGET, SERVICE, HEALTH SYSTEM STRENGTHENING, FINANCIAL REPORTS