In Brief: Creating Stronger Incentives for High-Quality Health Care in Low- and Middle-Income Countries


Publish Date: March 2012
Author: MCHIP, Alex Ergo, Ligia Paina, Lindsay Morgan and Rena Eichler
Language: English


This brief provides an overview of schemes linking quality improvement and performance-based incentives (PBIs) and provides guidance on how this link could be further strengthened in low- and middle-income countries (LMICs). Although both demand- and supply-side PBI schemes are recognized, the brief focuses mostly on the supply side. The first part describes current efforts to improve quality of care in existing PBI schemes in LMICs. The second part provides an overview of the various approaches to incentivizing quality of care in high-income countries (HICs). Reflecting on what is currently being done in LMICs and on how some of the HIC experiences could potentially be adapted to developing country settings, the final part proposes key lessons for the future design of PBI schemes in LMICs.


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QoC and PBI_Brief_Final.pdf 243.09 KB