Can paying for results help to achieve the Millennium Development Goals? A critical review of selected evaluations of results-based financing.

摘要: Background Results-based financing (RBF) refers to the transfer of money or material goods conditional on taking a measurable action achieving predetermined performance target. RBF is being promoted for helping achieve Millennium Development Goals (MDGs). Methods We undertook critical appraisal selected evaluations schemes in health sector low and middle-income countries (LMIC). In addition, key informants were interviewed identify literature relevant use LMIC, examples, evaluations, other informants. Results The LMIC has commonly been part package that may include increased funding, technical support, training, changes management, new information systems. It not possible disentangle effects financial incentives as one element schemes, there very limited evidence per se having an effect. can have unintended effects. Conclusion When are used, they should be designed carefully, including level at which targeted, choice targets indicators, type magnitude incentives, proportion paid based results, ancillary components scheme. For effective, it must appropriate interventions, capacity support available. monitored evaluated using rigorous study designs.