Tools
While developing a series of country-specific PBI/P4P case studies profiling maternal and child health-oriented PBI/P4P programs around the world, Health Systems 20/20 collected a wide variety of country-specific design and implementation tools, accessible below. Viewing these tools can be very helpful to understanding the complexities of PBI/P4P design and implementation and can help inform countries interested in introducing the concept.
P4P START-UP
Guidance, action plans, and gap assessments
- India: GOI guidelines for JSY: Micro-birth plan
- India: Micro-birth plan for Assam State
- Egypt: Basic benefits package
- Ethiopia: Facility action plan for P4P implementation
- Ethiopia: Woreda and regional action plan for P4P implementation
- Ethiopia: Tools to assess gaps prior to P4P implementation:
CONTRACTS
Sample contracts, guidelines, and Memoranda of Understanding (MOUs) between governments and public and/or private facilities, between health facilities and individual or teams of providers, and between government authorities and local associations responsible for verification
- Pakistan: MOU between Greenstar (an NGO) and surgical provider
- Pakistan: MOU between Greenstar (an NGO) and non-surgical provider
- Burundi: Sample contract between one provincial verification and validation committee and individual health facilities
- Burundi: Sample contract between health facilities and health personnel
- Burundi: Sample contract between provincial verification and validation committees and local associations
- Egypt: contract between the Family Health Fund and health care providers for provision of the basic benefits package
- India: Rajasthan state guidelines for accrediting private facilities under JSY
- India: Example of a MOU for a private accredited facility in Rajasthan
INDICATORS
Quantitative and qualitative
- Burundi: Indicators used to assess quality during quarterly assessments
- Burundi: Quantitative indicators to be used during nationwide scale-up
- Ethiopia Draft quantitative and qualitative indicators
- Philippines: Quarterly monitoring report (indicators used for monitoring but not linked to performance payment)
DETERMINING RECIPIENTS
Methods to determine recipients (i.e., poverty grading tools, beneficiary identification forms, etc.)
- Kenya: Poverty grading tool
- Pakistan: Voucher eligibility form – interview form for pregnant women
- Uganda: Poverty grading tool
- India: GOI guidelines for JSY: Model format for JSY card
- India: JSY Beneficiary Registration Card
VOUCHER CLAIM FORMS
JOB DESCRIPTIONS
Examples for individuals involved in P4P
- Pakistan: Job description for voucher outreach workers
- Pakistan: Job description for voucher male supervisors
VERIFICATION, VALIDATION, AND MEASUREMENT OF PERFORMANCE
- Brazil: Report used to record regular audit visits to a hospital to measure progress towards accreditation
- Belize: Internal medical record evaluation checklist
- Belize: Diabetes mellitus chart audit tool
- Belize: Hypertension audit data collection form
- Belize: Asthma audit tool
- Burundi: Sample community verification protocol used by local associations
- Egypt: Dimensions of quality and accreditation process
REGISTRATION FORMS
- Brazil: UNIMED-BH’s information system used to register patients into the disease management program
CALCULATING RESULTS AND/OR PAYMENT
- Brazil: UNIMED-BH’s information system used to capture the results of each patient in a disease management program and calculate physician P4P payment
- Uganda: Evaluating quality of care with STI claims data
- Burundi: How one health facility allocated P4P payments (Kibuye district, Gitega province)
- Ethiopia: Performance-based financing tool and guide: the tool presents indicators so that managers can monitor progress against specific targets; the guide sets out how to use the tool. Also view smaples from the Woreda district and within a hospital setting.
Capacity Building
