Paying for Performance: The Reproductive Output Based Aid Program in Kenya
In Kenya, the non-governmental organization Marie Stopes Kenya (MSK) participates in a pay-for-performance scheme known as the Output-Based Approach (OBA) program. The program targets demand-side subsidized vouchers to poor women for a basic range of family planning and safe motherhood services and makes supply-side voucher reimbursements to accredited facilities, with the overall aim to reduce maternal and infant mortality. Although only MSK services within the OBA pilot areas are accredited under the program, MSK services outside the pilot areas have also benefited from MSK program participation – MSK has diversified its funding resources, expanded its focus of family planning services to incorporate a wider range of contraceptive methods, and strengthened marketing for family planning services at the community level. This case study provides an example of a voucher program from the viewpoint of an accredited health service providers (MSK) and offers lessons learned for service providers that are considering participation in a voucher program.
Tools (Listed as annexes in case)
View additional tools used by P4P schemes being implemented elsewhere.
