Tajikistan - Feasibility Study for Results-Based Financing (RBF) In the Health Sector
The purpose of this study is to examine the feasibility of introducing Results-Based Financing (RBF) in Tajikistan's health sector. Several countries have experience with RBF in low-income settings, and lessons learned can be interesting for T...
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| Format: | Other Health Study |
| Language: | English |
| Published: |
World Bank
2012
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| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20100401003318 http://hdl.handle.net/10986/2838 |
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okr-10986-2838 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
ADMINISTRATIVE COSTS ANTENATAL CARE APPROPRIATE INCENTIVES AVAILABILITY OF DRUGS BASIC HEALTH SERVICES BEDS BEHAVIOR CHANGE BLOCK GRANTS BUDGET CEILING BUDGET INCREASE CAPITATION CAPITATION PAYMENT CAPITATION PAYMENTS CAPITATION SYSTEM CARE PERFORMANCE CENTRAL BUDGET CHILD CARE CHILD HEALTH CHILD HEALTH CARE CHILD MORTALITY CHILD MORTALITY RATES CHRONIC DISEASES CHRONIC MALNUTRITION CLEANLINESS CLINICAL INDICATORS CLINICS CONTRACTS WITH PROVIDERS DEATH RATES DEATHS DECISION MAKING DELIVERY SYSTEM DOCTORS DRUGS ECONOMIC ANALYSIS EQUITY IN ACCESS EXERCISES EXPENDITURES FAMILY PLANNING FEE-FOR-SERVICE FEE-FOR-SERVICE PAYMENT FINANCIAL BARRIERS FINANCIAL IMPACT FINANCIAL INCENTIVE FINANCIAL INCENTIVES FINANCIAL INFORMATION FINANCIAL MANAGEMENT FINANCIAL PRESSURE FINANCIAL RESOURCES FINANCIAL RISK FINANCIAL SITUATION GLOBAL BUDGETS GLOBAL DEVELOPMENT GROSS DOMESTIC PRODUCT HEALTH BUDGETS HEALTH CARE CENTERS HEALTH CARE DELIVERY HEALTH CARE DURING PREGNANCY HEALTH CARE FACILITIES HEALTH CARE FACILITY HEALTH CARE FINANCING HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE WORKERS HEALTH CENTERS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FINANCING REFORM HEALTH FOR ALL HEALTH INDICATORS HEALTH INFORMATION HEALTH INFORMATION SYSTEM HEALTH MANAGEMENT HEALTH ORGANIZATION HEALTH OUTCOME INDICATORS HEALTH OUTCOMES HEALTH PROJECT HEALTH PROMOTION HEALTH RESULTS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SPECIALIST HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HEALTHCARE HIV HOSPITAL HOSPITAL ADMISSION HOSPITAL CARE HOSPITAL DISCHARGE HOSPITAL MANAGERS HOSPITALIZATION HOSPITALS HOUSEHOLD LEVEL HR HUMAN DEVELOPMENT IMMUNIZATION INCENTIVE PAYMENTS INCOME INCOME COUNTRIES INCOME GROUPS INDIVIDUAL HEALTH INFANT INFANT DEATH INFANT MORTALITY INFANT MORTALITY RATE INFANTS INFORMAL PAYMENTS INFORMATION CAMPAIGNS INFORMATION SYSTEMS INPATIENT ADMISSION INTEGRATION IODINE DEFICIENCY LABORATORY SERVICES LEGAL FRAMEWORK LIFE EXPECTANCY LIVE BIRTHS LIVING STANDARDS LOCAL AUTHORITIES LOCAL GOVERNMENTS LOW BIRTH WEIGHT LOW INCOME LOW-INCOME COUNTRIES LOW-INCOME COUNTRY LOW-INCOME SETTINGS MANAGED CARE MANAGED CARE PLANS MATERNAL MORTALITY MATERNAL MORTALITY RATE MATERNAL MORTALITY RATIO MEDICAL DATA MEDICAL EQUIPMENT MEDICAL EXAMINATIONS MEDICAL RECORDS MEDICAL RESOURCES MEDICAL STATISTICS MEDICAL SUPPLIES MEDICINES MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MORTALITY MOTHER NATIONAL GOVERNMENT NATIONAL HEALTH NATIONAL HEALTH SERVICE NATIONAL LEVEL NEEDS ASSESSMENT NUTRITION ORAL REHYDRATION THERAPY OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENT SATISFACTION PATIENT SURVEYS PATIENTS PEDIATRICS PEER PRESSURE PHARMACY PHYSICIAN PHYSICIANS POCKET PAYMENTS POOR HEALTH POPULATION SIZE PRACTITIONERS PREGNANCY PREGNANT WOMEN PRENATAL CARE PREVENTIVE CARE PRIMARY HEALTH CARE PRIVATE CLINICS PROFESSIONAL ASSOCIATIONS PROGRESS PROVIDER PAYMENT PROVISION OF CARE PROVISION OF HEALTH CARE PUBLIC ADMINISTRATION PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH EXPENDITURE PUBLIC HEALTH SERVICES PUBLIC HOSPITALS PUBLIC SECTOR QUALITY IMPROVEMENT QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE QUALITY OF SERVICES REFERRALS REMITTANCES REPRODUCTIVE HEALTH RESOURCE ALLOCATION RESOURCE CONSTRAINTS RESOURCE USE RISK FACTORS RURAL AREAS SERVICE DELIVERY SERVICE PROVISION SOCIAL SECURITY SURGERY TREATMENTS TUBERCULOSIS UNDER FIVE MORTALITY VACCINATION VISITS WOMENS HEALTH WOMENS HEALTH CARE WORKERS WORLD HEALTH ORGANIZATION |
| spellingShingle |
ADMINISTRATIVE COSTS ANTENATAL CARE APPROPRIATE INCENTIVES AVAILABILITY OF DRUGS BASIC HEALTH SERVICES BEDS BEHAVIOR CHANGE BLOCK GRANTS BUDGET CEILING BUDGET INCREASE CAPITATION CAPITATION PAYMENT CAPITATION PAYMENTS CAPITATION SYSTEM CARE PERFORMANCE CENTRAL BUDGET CHILD CARE CHILD HEALTH CHILD HEALTH CARE CHILD MORTALITY CHILD MORTALITY RATES CHRONIC DISEASES CHRONIC MALNUTRITION CLEANLINESS CLINICAL INDICATORS CLINICS CONTRACTS WITH PROVIDERS DEATH RATES DEATHS DECISION MAKING DELIVERY SYSTEM DOCTORS DRUGS ECONOMIC ANALYSIS EQUITY IN ACCESS EXERCISES EXPENDITURES FAMILY PLANNING FEE-FOR-SERVICE FEE-FOR-SERVICE PAYMENT FINANCIAL BARRIERS FINANCIAL IMPACT FINANCIAL INCENTIVE FINANCIAL INCENTIVES FINANCIAL INFORMATION FINANCIAL MANAGEMENT FINANCIAL PRESSURE FINANCIAL RESOURCES FINANCIAL RISK FINANCIAL SITUATION GLOBAL BUDGETS GLOBAL DEVELOPMENT GROSS DOMESTIC PRODUCT HEALTH BUDGETS HEALTH CARE CENTERS HEALTH CARE DELIVERY HEALTH CARE DURING PREGNANCY HEALTH CARE FACILITIES HEALTH CARE FACILITY HEALTH CARE FINANCING HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE WORKERS HEALTH CENTERS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FINANCING REFORM HEALTH FOR ALL HEALTH INDICATORS HEALTH INFORMATION HEALTH INFORMATION SYSTEM HEALTH MANAGEMENT HEALTH ORGANIZATION HEALTH OUTCOME INDICATORS HEALTH OUTCOMES HEALTH PROJECT HEALTH PROMOTION HEALTH RESULTS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SPECIALIST HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HEALTHCARE HIV HOSPITAL HOSPITAL ADMISSION HOSPITAL CARE HOSPITAL DISCHARGE HOSPITAL MANAGERS HOSPITALIZATION HOSPITALS HOUSEHOLD LEVEL HR HUMAN DEVELOPMENT IMMUNIZATION INCENTIVE PAYMENTS INCOME INCOME COUNTRIES INCOME GROUPS INDIVIDUAL HEALTH INFANT INFANT DEATH INFANT MORTALITY INFANT MORTALITY RATE INFANTS INFORMAL PAYMENTS INFORMATION CAMPAIGNS INFORMATION SYSTEMS INPATIENT ADMISSION INTEGRATION IODINE DEFICIENCY LABORATORY SERVICES LEGAL FRAMEWORK LIFE EXPECTANCY LIVE BIRTHS LIVING STANDARDS LOCAL AUTHORITIES LOCAL GOVERNMENTS LOW BIRTH WEIGHT LOW INCOME LOW-INCOME COUNTRIES LOW-INCOME COUNTRY LOW-INCOME SETTINGS MANAGED CARE MANAGED CARE PLANS MATERNAL MORTALITY MATERNAL MORTALITY RATE MATERNAL MORTALITY RATIO MEDICAL DATA MEDICAL EQUIPMENT MEDICAL EXAMINATIONS MEDICAL RECORDS MEDICAL RESOURCES MEDICAL STATISTICS MEDICAL SUPPLIES MEDICINES MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MORTALITY MOTHER NATIONAL GOVERNMENT NATIONAL HEALTH NATIONAL HEALTH SERVICE NATIONAL LEVEL NEEDS ASSESSMENT NUTRITION ORAL REHYDRATION THERAPY OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENT SATISFACTION PATIENT SURVEYS PATIENTS PEDIATRICS PEER PRESSURE PHARMACY PHYSICIAN PHYSICIANS POCKET PAYMENTS POOR HEALTH POPULATION SIZE PRACTITIONERS PREGNANCY PREGNANT WOMEN PRENATAL CARE PREVENTIVE CARE PRIMARY HEALTH CARE PRIVATE CLINICS PROFESSIONAL ASSOCIATIONS PROGRESS PROVIDER PAYMENT PROVISION OF CARE PROVISION OF HEALTH CARE PUBLIC ADMINISTRATION PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH EXPENDITURE PUBLIC HEALTH SERVICES PUBLIC HOSPITALS PUBLIC SECTOR QUALITY IMPROVEMENT QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE QUALITY OF SERVICES REFERRALS REMITTANCES REPRODUCTIVE HEALTH RESOURCE ALLOCATION RESOURCE CONSTRAINTS RESOURCE USE RISK FACTORS RURAL AREAS SERVICE DELIVERY SERVICE PROVISION SOCIAL SECURITY SURGERY TREATMENTS TUBERCULOSIS UNDER FIVE MORTALITY VACCINATION VISITS WOMENS HEALTH WOMENS HEALTH CARE WORKERS WORLD HEALTH ORGANIZATION World Bank Tajikistan - Feasibility Study for Results-Based Financing (RBF) In the Health Sector |
| geographic_facet |
Europe and Central Asia Eastern Europe Commonwealth of Independent States Central Asia Asia Tajikistan |
| description |
The purpose of this study is to examine
the feasibility of introducing Results-Based Financing (RBF)
in Tajikistan's health sector. Several countries have
experience with RBF in low-income settings, and lessons
learned can be interesting for Tajikistan. Technically, RBF
is a retrospective provider payment that can be designed to
reimburse providers for contractually defined services and
specific compliance targets, including for efficiency and
quality targets. In Tajikistan RBF will be linked to ongoing
provider payment reforms. Therefore, the chapter also
provides a brief overview on provider payment mechanisms and
experience with provider payment reforms and treatment
patterns from middle- and higher-income countries. The
objective of this feasibility study is to propose a
sustainable RBF pilot program for two oblasts (Khatlon and
Sughd), to cost-effectively improve maternal and child
health (MCH) outcomes. The study aims to inform the health
sector strategy and help the Government and partners to
effectively design and use RBF mechanisms at three potential
levels. First, the fiscal transfer from the central
government to oblasts (regions) and rayons (districts) could
be adjusted to include a bonus payment based on specific
results achieved. Second, the provider payment method from
oblast health fund pools to hospitals and outpatient
facilities could reward providers based on results
indicators. Third, a performance payment could be added to
salaries paid to staff working in health facilities. It is
expected that such a three-pronged approach could reinforce
the financial incentive set through RBF to staff working in
the administration and provision of care. If the staff
responds to these incentives, then this could lead to better
management in oblast and rayons, improved availability of
financial resources and medical material in health
facilities, and better treatment of patients. Combined,
these behavioral changes will ultimately lead to better
health results, including improved quality of care and in
the longer-run improved health status. |
| format |
Economic & Sector Work :: Other Health Study |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Tajikistan - Feasibility Study for Results-Based Financing (RBF) In the Health Sector |
| title_short |
Tajikistan - Feasibility Study for Results-Based Financing (RBF) In the Health Sector |
| title_full |
Tajikistan - Feasibility Study for Results-Based Financing (RBF) In the Health Sector |
| title_fullStr |
Tajikistan - Feasibility Study for Results-Based Financing (RBF) In the Health Sector |
| title_full_unstemmed |
Tajikistan - Feasibility Study for Results-Based Financing (RBF) In the Health Sector |
| title_sort |
tajikistan - feasibility study for results-based financing (rbf) in the health sector |
| publisher |
World Bank |
| publishDate |
2012 |
| url |
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20100401003318 http://hdl.handle.net/10986/2838 |
| _version_ |
1764386030699413504 |
| spelling |
okr-10986-28382021-04-23T14:02:04Z Tajikistan - Feasibility Study for Results-Based Financing (RBF) In the Health Sector World Bank ADMINISTRATIVE COSTS ANTENATAL CARE APPROPRIATE INCENTIVES AVAILABILITY OF DRUGS BASIC HEALTH SERVICES BEDS BEHAVIOR CHANGE BLOCK GRANTS BUDGET CEILING BUDGET INCREASE CAPITATION CAPITATION PAYMENT CAPITATION PAYMENTS CAPITATION SYSTEM CARE PERFORMANCE CENTRAL BUDGET CHILD CARE CHILD HEALTH CHILD HEALTH CARE CHILD MORTALITY CHILD MORTALITY RATES CHRONIC DISEASES CHRONIC MALNUTRITION CLEANLINESS CLINICAL INDICATORS CLINICS CONTRACTS WITH PROVIDERS DEATH RATES DEATHS DECISION MAKING DELIVERY SYSTEM DOCTORS DRUGS ECONOMIC ANALYSIS EQUITY IN ACCESS EXERCISES EXPENDITURES FAMILY PLANNING FEE-FOR-SERVICE FEE-FOR-SERVICE PAYMENT FINANCIAL BARRIERS FINANCIAL IMPACT FINANCIAL INCENTIVE FINANCIAL INCENTIVES FINANCIAL INFORMATION FINANCIAL MANAGEMENT FINANCIAL PRESSURE FINANCIAL RESOURCES FINANCIAL RISK FINANCIAL SITUATION GLOBAL BUDGETS GLOBAL DEVELOPMENT GROSS DOMESTIC PRODUCT HEALTH BUDGETS HEALTH CARE CENTERS HEALTH CARE DELIVERY HEALTH CARE DURING PREGNANCY HEALTH CARE FACILITIES HEALTH CARE FACILITY HEALTH CARE FINANCING HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE WORKERS HEALTH CENTERS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FINANCING REFORM HEALTH FOR ALL HEALTH INDICATORS HEALTH INFORMATION HEALTH INFORMATION SYSTEM HEALTH MANAGEMENT HEALTH ORGANIZATION HEALTH OUTCOME INDICATORS HEALTH OUTCOMES HEALTH PROJECT HEALTH PROMOTION HEALTH RESULTS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH SPECIALIST HEALTH SPENDING HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HEALTHCARE HIV HOSPITAL HOSPITAL ADMISSION HOSPITAL CARE HOSPITAL DISCHARGE HOSPITAL MANAGERS HOSPITALIZATION HOSPITALS HOUSEHOLD LEVEL HR HUMAN DEVELOPMENT IMMUNIZATION INCENTIVE PAYMENTS INCOME INCOME COUNTRIES INCOME GROUPS INDIVIDUAL HEALTH INFANT INFANT DEATH INFANT MORTALITY INFANT MORTALITY RATE INFANTS INFORMAL PAYMENTS INFORMATION CAMPAIGNS INFORMATION SYSTEMS INPATIENT ADMISSION INTEGRATION IODINE DEFICIENCY LABORATORY SERVICES LEGAL FRAMEWORK LIFE EXPECTANCY LIVE BIRTHS LIVING STANDARDS LOCAL AUTHORITIES LOCAL GOVERNMENTS LOW BIRTH WEIGHT LOW INCOME LOW-INCOME COUNTRIES LOW-INCOME COUNTRY LOW-INCOME SETTINGS MANAGED CARE MANAGED CARE PLANS MATERNAL MORTALITY MATERNAL MORTALITY RATE MATERNAL MORTALITY RATIO MEDICAL DATA MEDICAL EQUIPMENT MEDICAL EXAMINATIONS MEDICAL RECORDS MEDICAL RESOURCES MEDICAL STATISTICS MEDICAL SUPPLIES MEDICINES MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MORTALITY MOTHER NATIONAL GOVERNMENT NATIONAL HEALTH NATIONAL HEALTH SERVICE NATIONAL LEVEL NEEDS ASSESSMENT NUTRITION ORAL REHYDRATION THERAPY OUTPATIENT CARE OUTPATIENT SERVICES PATIENT PATIENT SATISFACTION PATIENT SURVEYS PATIENTS PEDIATRICS PEER PRESSURE PHARMACY PHYSICIAN PHYSICIANS POCKET PAYMENTS POOR HEALTH POPULATION SIZE PRACTITIONERS PREGNANCY PREGNANT WOMEN PRENATAL CARE PREVENTIVE CARE PRIMARY HEALTH CARE PRIVATE CLINICS PROFESSIONAL ASSOCIATIONS PROGRESS PROVIDER PAYMENT PROVISION OF CARE PROVISION OF HEALTH CARE PUBLIC ADMINISTRATION PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH EXPENDITURE PUBLIC HEALTH SERVICES PUBLIC HOSPITALS PUBLIC SECTOR QUALITY IMPROVEMENT QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE QUALITY OF SERVICES REFERRALS REMITTANCES REPRODUCTIVE HEALTH RESOURCE ALLOCATION RESOURCE CONSTRAINTS RESOURCE USE RISK FACTORS RURAL AREAS SERVICE DELIVERY SERVICE PROVISION SOCIAL SECURITY SURGERY TREATMENTS TUBERCULOSIS UNDER FIVE MORTALITY VACCINATION VISITS WOMENS HEALTH WOMENS HEALTH CARE WORKERS WORLD HEALTH ORGANIZATION The purpose of this study is to examine the feasibility of introducing Results-Based Financing (RBF) in Tajikistan's health sector. Several countries have experience with RBF in low-income settings, and lessons learned can be interesting for Tajikistan. Technically, RBF is a retrospective provider payment that can be designed to reimburse providers for contractually defined services and specific compliance targets, including for efficiency and quality targets. In Tajikistan RBF will be linked to ongoing provider payment reforms. Therefore, the chapter also provides a brief overview on provider payment mechanisms and experience with provider payment reforms and treatment patterns from middle- and higher-income countries. The objective of this feasibility study is to propose a sustainable RBF pilot program for two oblasts (Khatlon and Sughd), to cost-effectively improve maternal and child health (MCH) outcomes. The study aims to inform the health sector strategy and help the Government and partners to effectively design and use RBF mechanisms at three potential levels. First, the fiscal transfer from the central government to oblasts (regions) and rayons (districts) could be adjusted to include a bonus payment based on specific results achieved. Second, the provider payment method from oblast health fund pools to hospitals and outpatient facilities could reward providers based on results indicators. Third, a performance payment could be added to salaries paid to staff working in health facilities. It is expected that such a three-pronged approach could reinforce the financial incentive set through RBF to staff working in the administration and provision of care. If the staff responds to these incentives, then this could lead to better management in oblast and rayons, improved availability of financial resources and medical material in health facilities, and better treatment of patients. Combined, these behavioral changes will ultimately lead to better health results, including improved quality of care and in the longer-run improved health status. 2012-03-19T10:22:18Z 2012-03-19T10:22:18Z 2010-03-31 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20100401003318 http://hdl.handle.net/10986/2838 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank Economic & Sector Work :: Other Health Study Europe and Central Asia Eastern Europe Commonwealth of Independent States Central Asia Asia Tajikistan |