Improving Grassroots Service Delivery Using Results-Based Financing in Vietnam
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World Bank, Washington, DC
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Over the last decade, results-based
financing (RBF) health programs have been implemented in
several countries at different levels of income. Due to its
requirement of rigorous verification of results as a
condition for financing, as well as a number of accompanying
measures to help achieve the results, RBF has a promise of
value for money. RBF's potential for improving the
performance of the service delivery system has led the
government of Vietnam to undertake a pilot of RBF in the
Nghe An province as part of a World Bank funded operation.
The main objective of the pilot was to experiment an RBF
approach in the Vietnam context, where public sector
providers have been receiving budget allocation based on
inputs rather than performance. A secondary objective was to
test the effects of RBF in improving quality of care at the
grassroots level and in addressing the challenges of
emerging noncommunicable diseases. The intervention included
quality improvement at the district level and both quality
and quantity of services at commune health station.
Palabras clave
RESULTS-BASED FINANCING, HEALTHCARE DELIVERY, SERVICE DELIVERY, HEALTH SERVICES