Verification of Performance in Result-Based Financing : The Case of Burundi
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World Bank, Washington, DC
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Paying health facilities incentives
based on their performance is one form of results-based
financing (RBF). Verification of the performance of the
providers is a vital part of RBF program implementation.
Burundi was one of the first African countries to introduce
performance-based financing (PBF). The PBF scheme is
implemented in the whole country and is led by the Ministry
of Health (MoH). It pays incentives based on quantity of
services provided as well as a quality of care component.
This study describes the methods used for verification in
Burundi, which include monthly verification of the quantity
and technical quality of services provided on a quarterly
basis; semiannual patient tracing and assessment of patient
satisfaction; and counter-verification of the information
provided by these three mechanisms. The results of
verification are presented and it discusses obstacles to
verification, how they have been addressed, and the
challenges ahead. The case study is part of a broader
analysis, which includes multiple country case examples, to
expand knowledge about the verification process and
practices to address the design and implementation needs of
RBF programs.
Palabras clave
CAESAREAN SECTION, CIRCUMCISION, CLEANLINESS, CLINICAL GUIDELINES, CONFIDENTIALITY, DESCRIPTION, DISTRICTS, DOMAIN, DOMAINS, E-MAIL, FAMILY PLANNING, FRAUD, HEALTH CARE, HEALTH CARE PROVIDER, HEALTH CARE PROVIDERS, HEALTH CENTERS, HEALTH CENTRES, HEALTH EXPENDITURE, HEALTH FACILITIES, HEALTH INDICATORS, HEALTH MANAGEMENT, HEALTH PROVIDERS, HEALTH SECTOR, HEALTH SERVICES, HEALTH SYSTEM, HEALTH SYSTEM PERFORMANCE, HIV, HOSPITAL SERVICES, HOSPITALIZATION, HOSPITALS, HUMAN DEVELOPMENT, INCOME, INFORMATION SYSTEM, INHABITANTS, INSTITUTION, INTEGRATION, LIFE EXPECTANCY, MATERIAL, MEDICINE, MORALITY, MORTALITY, NURSES, NURSING, NUTRITION, PATIENT, PATIENT SATISFACTION, PATIENTS, PERFORMANCES, PHYSICIAN, PHYSICIANS, PILOT PROJECT, PILOT PROJECTS, PREGNANCY, PREGNANT WOMAN, PREGNANT WOMEN, PROVIDER PAYMENT, PUBLIC HEALTH, QUALITY OF HEALTH, QUALITY OF HEALTH CARE, QUALITY OF SERVICES, REFUGEES, REGISTRIES, REGULATORY SYSTEM, RELIABILITY, RESULT, RESULTS, SUPERVISION, SURGERY, TECHNICAL ASSISTANCE, TELEPHONE, TETANUS, TRAINING WORKSHOPS, TRAININGS, TREATMENT, TUBERCULOSIS, UNDER-FIVE MORTALITY, USER, VACCINATION, VERIFICATION, VERIFICATIONS, WEB, WORKERS