Table 3.
Possible performance-based financing research priorities
Category | Research priority |
---|---|
Service delivery | 1) Evaluate effect size over longer periods of time |
2) Evaluate effects on non-incentivised services and the broader health system | |
3) Evaluate effects of stopping PBF | |
4) Identify specific services for which PBF is effective | |
5) Validate results in different geographic settings | |
Human resources | 6) Quantify and compare human resources required for implementing and monitoring PBF and IBF |
7) Evaluate effects on health workforce behaviour, including absenteeism, task sharing, and productivity | |
Governance | 8) Evaluate effectiveness of PBF as vertical approach within the HIV/AIDS programme versus as part of overall health system |
9) Identify potential health system mechanisms through which PBF may be effective | |
Health financing | 10) Quantify and compare overall cost, including schemes and oversight, of PBF and IBF |
Information systems | 11) Evaluate effects on the quality, accuracy, completeness, timeliness, and use of data at health facilities |
12) Evaluate the role of communities and PLHIV organisations in validating performance | |
Clients | 13) Evaluate and compare acceptability of PBF and IBF services |