7TZHZMCF
type: UserItem
resource: Performance-based Financing in Africa: Time to Test Measures for Equity
access date: 2018-07-29 13:04:16
repository: Crossref

Performance-based Financing in Africa: Time to Test Measures for Equity
type: AcademicArticle
abstract: Over the past 15 years, hundreds of millions of dollars have been invested in reforms founded on performance-based financing (PBF) in low- and middle-income countries. While evidence on its effectiveness and efficiency is still controversial, there appears to be an emerging consensus that equity has not been adequately considered. In this article, we show how PBF-type interventions in Africa have not sufficiently taken into account equity of access to care for the worst-off and their financial protection. In reviewing the history of health reforms in Africa, we show that this omission is nothing new. We suggest that strategic purchasing and PBF-type actions would benefit from being implemented in ways that promote equity and the financial protection of populations in Africa. Without such a reorientation of reforms, it will be impossible to achieve universal health coverage by 2030.
pages: 549-561
doi: 10.1177/0020731418779508
short title: Performance-based Financing in Africa
language: en
creator: Person
author list: Person
is part of: Issue
  date: 2018-07
  volume: 48
  issue: 3
  is part of: International Journal of Health Services
    type: Journal
    issn: 0020-7314, 1541-4469

Person
given name: Valéry
surname: Ridde

Person
given name: Lara
surname: Gautier

Person
given name: Anne-Marie
surname: Turcotte-Tremblay

Person
given name: Isidore
surname: Sieleunou

Person
given name: Elisabeth
surname: Paul