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Improving Grassroots Service Delivery Using Results-Based Financing in Vietnam : An Assessment of the Nghe An Pilot (Inglês)

Over the last decade, results-based financing (RBF) health programs have been implemented in several countries at different levels of income. Due to its requirement of rigorous verification of results as a condition for financing, as well as a number of accompanying measures to help achieve the results, RBF has a promise of value for money. RBF's potential for improving the performance of the service delivery system has led the government of Vietnam to undertake a pilot of RBF in the Nghe An province as part of a World Bank funded operation. The main objective of the pilot was to experiment an RBF approach in the Vietnam context, where public sector providers have been receiving budget allocation based on inputs rather than performance. A secondary objective was to test the effects of RBF in improving quality of care at the grassroots level and in addressing the challenges of emerging noncommunicable diseases. The intervention included quality improvement at the district level and both quality and quantity of services at commune health station.


  • Autor

    Nguyen,Ha Thi Hong

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    Documento de Trabalho

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    Leste Asiático e Pacífico,

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  • Nome do documento

    Improving Grassroots Service Delivery Using Results-Based Financing in Vietnam : An Assessment of the Nghe An Pilot

  • Palavras-chave

    maternal and child health; quality of care; clinical quality of care; short period of time; management of patients; quality and quantity; improving service delivery; service delivery system; public sector provider; supply chain management; provision of service; diagnosis and treatment; Health Service Delivery; indicators of health; access to care; primary health care; health information system; treatment of children; burden of disease; gross domestic product; child growth monitoring; High Blood Pressure; free health insurance; Special Drawing Right; flow of fund; volume of services; children of ages; quality improvement; Waste Management; Health Workers; delivery care; district hospital; uninsured patient; health station; acute pneumonia; field trip; clinical guidelines; data management; outpatient care; medical records; train activity; Prenatal Care; general management; exchange rate; curative care; Exchange Rates; administrative datum; medical equipment; data system; quality indicators; equipment investment; preventive service; noncommunicable diseases; budget allocation; Continuous Learning; command system; normal deliveries; incentive payment; price difference; consultative manner; provincial hospital; nutrition service; liquid waste; relative weight; curative service; unit price; equity issue; clinical condition; price tag; prevention program; quality datum; community outreach; waste treatment; hospital staff; positive spillover; outpatient visits; pregnant woman; nutrition indicator; data reporting; health outcome; formal sector; disadvantaged population; curative visit; population group; special treatment; stated objective; perverse incentives; innovative way; supply response; financial impact; fiscal space; financial incentive; financial reward; staff salary; medical instrument; core functions; health activities; equipment management; high share; pilot activities; administrative cost; budget share; subsidy payment; institutional aspect; quality measure; financial resource; insurance agencies; preventive care; marginal incentive; government system; budget control; health leader; operational implementation; Recognition Program; cash payment; global development; administrative support; benefit package; health facility; financial contribution; qualitative information; resultsbased financing; core principle; baseline survey; stakeholder consultation; rapid assessment; provider payment; health program; subsidiary right; noncommercial purposes; chronic disease



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