Financing (including Performance-Based)

HRH and health financing are practically inseparable; it is often forgotten that the wages of health workers usually account for 40 to 60 percent of a national health budget. This section of the eToolkit includes country case studies, introductions to national health accounting (NHA), health financing (including a large manual from OECD) and overviews of health spending in the Africa region. Health care workers participate in a counseling role play on male circumcision (MC) during a training session in Lusaka, Zambia. The recent strong evidence linking lack of male circumcision with a high prevalence of HIV makes MC a potential public health intervention for addressing the problem of HIV in sub-Saharan Africa. It may also serve as an entry point for increasing male involvement in reproductive health. © 2004 Emmanuel Dipo Otolorin, Courtesy of Photoshare

Additional resources focus on institutional or systems-level incentives, often referred to Performance-Based Financing (PBF). both general overviews and country cases. This toolkit has both general overviews and country cases of PBF.

PBF has other names and takes on many different forms at the institutional level:

  • Pay for Performance (P4P)
  • Results-Based Financing (RBF) and
  • Cash on Delivery (COD)