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Cost-Effectiveness Analysis of Results-Based Financing Programs: A Toolkit

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  • Donald Shepard
  • Wu Zeng
  • Ha Thi Hong Nguyen

Abstract

Results-based financing (RBF), which rewards providers, users, or administrators of services upon achieving a set of verified results, has been gaining attraction in global health as a prominent approach to gain value for money. With a large number of countries adopting RBF in the recent years, evidence starts to emerge which points to the effectiveness of RBF in improving coverage and quality of important services, such as maternal and child health and reproductive health. The current toolkit aims to support country programs to assess the cost-effectiveness of RBF interventions and to facilitate cross-country comparisons of RBF programs. The toolkit is specifically tailored to supply-side RBF but its general principles apply to most health systems interventions directed at the health-related millennium development goals (MDGs). The development of the toolkit was based on actual experience of conducting a cost effectiveness analysis of Zambia’s RBF program and an extensive review of RBF programs features across the health results innovation trust fund (HRITF) portfolio. Given that RBF programs in the HRITF portfolio are typically complex health system interventions, the toolkit recommends a practical approach of adopting a program implementer’s perspective and presents different options for cost-effectiveness analysis (for selected key indicators or for an entire package of services). It also provides guidance on incorporating quality of care, which is strongly emphasized across many RBF programs.

Suggested Citation

  • Donald Shepard & Wu Zeng & Ha Thi Hong Nguyen, 2015. "Cost-Effectiveness Analysis of Results-Based Financing Programs: A Toolkit," Health, Nutrition and Population (HNP) Discussion Paper Series 99587, The World Bank.
    • Handle: RePEc:wbk:hnpdps:99587
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    References listed on IDEAS

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    1. Shepard, Donald S. & Sanoh, Layes & Coffi, Emmou, 1986. "Cost-effectiveness of the expanded programme of immunization in the Ivory Coast: A preliminary assessment," Social Science & Medicine, Elsevier, vol. 22(3), pages 369-377, January.
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    Keywords

    child health; risks; reproductive health; vaccination; financing; antenatal care; deaths; income; quality of health care; prevention; health economics; morbidity; syphilis ... See More + community health; health care; medical records; death; death rate; incentives; health; obstetrical care; development goals; health facilities; public health; life expectancy; quality of health; hospitalization; health sector; knowledge; disabilities; choice; cost effectiveness; health status; costs; iron; immunization; patients; patient; impact of quality of care; health equipment; hospital records; intervention; health systems; fixed costs; preventive treatment; health centers; impact evaluations; health care services; health management; tuberculosis; folic acid; health organization; screening; birth rate; global health; hiv/aids; polio vaccine; mortality; general practice; counselling; equity; childbirth; health specialist; workers; surgery; quality of care; health systems strengthening; postnatal care; immunodeficiency; care; policy makers; health policy; health effects; budgets; social policy; demand; health outcomes; hepatitis b; family planning; medical equipment; expenditures; decision making; hospital costs; measurement; nutrition; service utilization; policy; quality of life; primary health care; burden of disease; internet; health results; health system; insurance; weight; pregnant women; children; disease control; evaluation; inpatient care; poverty; illness; disability; incidence; limited resources; counseling; population; polio; strategy; fees; epidemiology; registration; child health services; medicines; health projects; hospitals; health interventions; health consequences; millennium development goals; birth attendant; health service; health programs; health services; implementation; pregnancy; abortion; condoms; cleanliness; health strategy; provider payment; primary health care services;
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