Evidence on result-based financing in maternal and child health in low-and middle-income countries:a systematic review

作     者：Nigel James Kenny Lawson Yubraj Acharya 

作者机构：Department of Health Policy and AdministrationThe Pennsylvania State UniversityUniversity ParkPA 16801USA Translational Health Research InstituteWestern Sydney UniversitySydneyAustralia Hunter Medical Research InstituteLot 1 Kookaburra CircuitNew Lambton HeightsNSWAustralia 

出 版 物：《Global Health Research and Policy》 (全球健康研究与政策（英文）)

年 卷 期：2020年第5卷第1期

页      面：179-193页

学科分类：0711[理学-系统科学] 07[理学] 08[工学] 081101[工学-控制理论与控制工程] 0811[工学-控制科学与工程] 071102[理学-系统分析与集成] 081103[工学-系统工程] 

基　　金：governments of Norway National Institute of Child Health and Human Development, NICHD, (P2CHD041025) 

主　　题：Result-based financing Maternal and child health care Low-and middle-income countries Pay for performance Institutionalization 

摘      要：Introduction:Result-Based Financing(RBF)is an umbrella term for financial mechanisms that link incentives to outputs or *** development agencies are promoting RBF as a viable financing approach for the realization of universal health coverage,with numerous pilot trials,particularly in low-and middle-income countries(LMICs).There is limited synthesized evidence on the performance of these mechanisms and the reasons for the lack of RBF *** study aims to review the evidence of RBF schemes that have been scaled or institutionalized at a national level,focusing on maternal,newborn,and child health(MNCH)programming in ***:A systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)*** authors identified and reviewed country-level RBF evaluation reports for the period between January 2000 and June *** were extracted from both published and gray literature on RBF application in MNCH using a predesigned *** matrix headers included country of application;program setting;coverage and duration;evaluation design and methods;outcome measures;and key findings.A content thematic analysis approach was used to synthesize the evidence and emerging ***:The review identified 13 reports from 11 countries,predominantly from Sub-Saharan *** financing was the most common form of RBF *** majority of evaluation designs were randomized *** evaluations focused on outputs,such as coverage and service utilization,rather than *** schemes in all 11 countries expanded their scope,either geographically or accordingly in terms of performance ***,only three studies conducted a cost-effectiveness analysis,and only two included a discussion on RBF’s *** three countries have institutionalized RBF into their national *** the basis of the experience of these three