Verification of Performance in Results-Based Financing : The Case of Afghanistan

World Bank Group

World Bank, Washington, DC

关键词: service delivery;    health centers;    patient satisfaction;    health financing;    results-based financing;   

RP-ID  :  108604

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

Since the end of the Taliban period,Afghanistan made remarkable progress, particularly in thehealth sector. Between 1990 and 2013, infant mortalitydeclined from 121.3 to 70.2 deaths per 1’000 live births;under 5 mortality diminished from 179.1 to 97.3 deaths per1’000 live births; and maternal mortality dropped from 1’300to 460 maternal deaths per 100’000 live births. To furtherimprove the coverage and utilization of Maternal and ChildHealth (MCH) services, the Government of Afghanistan – underthe stewardship of the Ministry of Public Health (MOPH) –launched a new supply-side Results-Based Financing (RBF)scheme, covering 11 provinces and providing a standardizedbasic package of health services (BPHS). This packagefocuses on priority MCH services such as antenatal care(ANC), post-natal care (PNC), delivery care, nutrition,immunization coverage, tuberculosis (TB), as well as qualityof care. This RBF program contracts international NGOs,incentivizing them for both the quantity and the quality ofselect services.