Output-Based Health Care : Paying for Performance in Haiti

Output-Based Health Care : Paying for Performance in Haiti

In 1999 the U.S. Agency for International Development introduced performance-based contracting in an effort to improve the effectiveness of some of Haiti's nongovernmental organizations in providing basic health services, such as immunization...

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Bibliographic Details
Main Authors:	Eichler, Rena, Auxila, Paul, Pollock, John
Format:	Viewpoint
Language:	English
Published:	World Bank, Washington, DC 2012
Subjects:	AGED ATTENTION BASIC HEALTH SERVICES CAPITATION CLINICS COMMUNITY PARTICIPATION CONTRACEPTIVES COUNSELING EXPENDITURES FAMILY PLANNING GENERAL PRACTICE HEALTH CARE HEALTH CARE SERVICES HEALTH SERVICES IMMUNIZATION INCENTIVE PROBLEMS INNOVATION LEADERSHIP LEARNING MEDICAL RECORDS MOTHERS MOTIVATION NGOS NONGOVERNMENTAL ORGANIZATIONS ORAL REHYDRATION THERAPY PATIENTS PREGNANT WOMEN PRIVATE SECTOR SERVICE DELIVERY VACCINATION VACCINATIONS HEALTH CARE BASIC SERVICES PAYMENTS SYSTEMS PERFORMANCE CONTRACTS HEALTH PROVIDERS PERFORMANCE STANDARDS PERFORMANCE INDICATORS
Online Access:	http://documents.worldbank.org/curated/en/2001/08/1764493/output-based-health-care-paying-performance-haiti http://hdl.handle.net/10986/11370

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Summary:	In 1999 the U.S. Agency for International Development introduced performance-based contracting in an effort to improve the effectiveness of some of Haiti's nongovernmental organizations in providing basic health services, such as immunization and prenatal and maternal care. These providers has been operating under a payment system that reimbursed their expenses up to a ceiling. The new systems set performance targets and withheld a portion of their historical budget, allowing them to earn back the withheld payment plus a bonus if they met the targets. A one-year pilot involving three providers showed some marked improvements in performance.