Pay for Performance for Improved Health In Burundi
To increase utilization of health services and improve maternal and child health outcomes, Burundi is in the process of rolling out a publicly funded supply-side pay-for-performance (P4P) program nationwide consisting of payments to health facilities. Interesting features of this program include use of monthly quantity-related incentive payments (based on service utilization) and quarterly quality-related payments (measured partially through patient and community satisfaction) and a degree of facility-level autonomy to determine what to invest in and how to share payments among staff. This case study describes the P4P pilot scheme in Burundi, how the pilot influenced design of nationwide scale-up of P4P, and offers lessons for countries that are considering implementing similar government-led nationwide schemes.
- How One Health Facility Allocated P4P Payments
- Quantitative Indicators to be Used during Nationwide Scale-up
- Indicators Used to Assess Quality during Quarterly Assessments
- Sample Community Verification Protocol Used by Local Associations
- Sample Contract between the CPVV and Individual Health Facilities
- Sample Contract between Health Facilities and Health Personnel
- Sample Contract between Provincial Committees and Local Associations
View additional tools used by P4P schemes being implemented elsewhere.
Read the Burundi case study "Community Engagement and Performance-based Incentives: The View From Burundi"