%0 Journal Article
%T Performance-based financing: just a donor fad or a catalyst towards comprehensive health-care reform?
%A Meessen
%A Bruno
%A Soucat
%A Agn¨¨s
%A Sekabaraga
%A Claude
%J Bulletin of the World Health Organization
%D 2011
%I World Health Organization
%R 10.1590/S0042-96862011000200015
%X performance-based financing is generating a heated debate. some suggest that it may be a donor fad with limited potential to improve service delivery. most of its critics view it solely as a provider payment mechanism. our experience is that performance-based financing can catalyse comprehensive reforms and help address structural problems of public health services, such as low responsiveness, inefficiency and inequity. the emergence of a performance-based financing movement in africa suggests that it may contribute to profoundly transforming the public sectors of low-income countries.
%U http://www.scielosp.org/scielo.php?script=sci_abstract&pid=S0042-96862011000200015&lng=en&nrm=iso&tlng=en