Improving Grassroots Service Delivery Using Results-Based Financing in Vietnam : An Assessment of the Nghe An Pilot

Nguyen, Ha Thi Hong

World Bank, Washington, DC

关键词: RESULTS-BASED FINANCING;    HEALTHCARE DELIVERY;    SERVICE DELIVERY;    HEALTH SERVICES;   

RP-ID  :  129839

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

Over the last decade, results-basedfinancing (RBF) health programs have been implemented inseveral countries at different levels of income. Due to itsrequirement of rigorous verification of results as acondition for financing, as well as a number of accompanyingmeasures to help achieve the results, RBF has a promise ofvalue for money. RBF's potential for improving theperformance of the service delivery system has led thegovernment of Vietnam to undertake a pilot of RBF in theNghe An province as part of a World Bank funded operation.The main objective of the pilot was to experiment an RBFapproach in the Vietnam context, where public sectorproviders have been receiving budget allocation based oninputs rather than performance. A secondary objective was totest the effects of RBF in improving quality of care at thegrassroots level and in addressing the challenges ofemerging noncommunicable diseases. The intervention includedquality improvement at the district level and both qualityand quantity of services at commune health station.