Working Group on Performance-Based Incentives
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February 2006 – Present CGD has convened a Working Group on Performance-Based Incentives to explore how these innovations are working, how they are affecting (or could affect) the broader health system, and if and how they can be used to change key health-related behaviors, especially as they affect the health of the poor. Working group information you will find here includes:
NEW! Working Papers on four Case StudiesA series of four working papers were prepared as inputs to the working group's research and discussions. They provide a preview of the working group's book, to be published in late 2007, which will feature these and three other case studies of performance-based incentives in practice.
Background Paper: Can "Pay for Performance" Increase Utilization by the Poor and Improve the Quality of Health Services?Access the background paper prepared by Rena Eichler, Can "Pay for Performance" Increase Utilization by the Poor and Improve the Quality of Health Services? (pdf), which defines and describes performance-based incentive schemes, identifies problems they might help to solve, discusses the conceptual framework behind them, places them within a broader health systems context and briefly summarizes some case examples. Working Group ObjectiveOver the past decade or so, many countries -- often with the financial and technical support of donors - have introduced performance-based incentives in the health sector. Some incentives have been designed to directly affect provider behavior, promoting delivery of more and better quality services. Others incentives have focused on stimulating changes in household or patient behavior; for example, aiming at an increase in use of health services and/or continuation of long-duration treatments for TB or other ailments. While only a few of the performance-based incentive programs have been subject to a rigorous evaluation, significant experience has been accrued about how these approaches are working, and how the introduction of incentives can reinforce (or compete with) other ways to strengthen health systems. The central objective of the Working Group on Performance-based Incentives is to learn lessons from these experiences to inform the design of future health programs in developing countries. ApproachIn February 2006, the Center for Global Development's Global Health Policy Network convened the Working Group on Performance-based Incentives to prepare a book about these experiences, drawing lessons for donor agencies and policymakers in developing countries seeking to broaden the menu of ways to improve health systems. The book, to be published in late 2007, will include a synthetic analysis of the evidence, case write-ups and recommendations. Case studies include:
In addition to the book, accompanying policy briefs and a website with additional resources will be tailored to a variety of stakeholders. The working group will disseminate recommendations through briefings at key development institutions and fora, and a launch event bringing together practitioners who have worked on pay for performance programs, developing country leaders in the health sector, and individuals who are actively engaged in setting the donor agenda for health system strengthening at the United States and Europe. Working Group CompositionLed by Ruth Levine, the Working Group currently consists of 27 members, including individuals with expertise in institutional and household economics, health finance and management, quality of care, program implementation; international and developed country perspectives.
Members of the Working Group were invited to join in a personal capacity and on a voluntary basis.
Contact Information Please contact Ruth Levine for more information about the Working Group on Performance-Based Incentives.
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