Table 5. Quality-adjusted life years among mothers and children in the results-based financing programme in Zambia, April 2012 to June 2014 .
Population | QALYs gained, mid-point (lower-upper bounds) |
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---|---|---|---|---|---|---|
Results-based financing versus input-based financing |
Results-based financing versus control |
Input-based financing versus control |
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Quality-unadjusted | Quality-adjusted | Quality-unadjusted | Quality-adjusted | Quality-unadjusted | Quality-adjusted | |
Children < 5 years | 5 088 (3 733–6 015) | 6 300 (4 826–7 323) | 11 816 (10 480–13 100) | 14 574 (13 195–15 953) | 6728 (5 171–8 131) | 8 274 (6 704–9 843) |
Pregnant women | 237 (216–302) | 302 (237–345) | 475 (425–539) | 604 (539–626) | 237 (176–302) | 302 (237–345) |
All | 5 325 (3 948–6 317) | 6 602 (5 064–7 688) | 12 291 (10 905–13 639) | 15 178 (13 734–16 579) | 6 966 (5 347–8 433) | 8 576 (6 942–10 188) |
QALY: quality-adjusted life year.
Notes: Results-based financing facilities received increased funding tied to performance on pre-agreed indicators; input-based financing facilities received increased funding not tied to performance; control facilities were under the usual funding system without additional financing in Zambia. The estimated bounds assume independence of the eight maternal and child health indicators included in the analysis. The quality-adjusted results considered the impact of the programme on quality of care. All the calculations in this table used the standard baseline population of 1.33 million and baseline coverage of health services of the quality-adjusted coverage in the results-based financing group.