Making Performance-Based Funding Work for Health
Author Information
Author(s): Daniel Low-Beer, Houtan Afkhami, Ryuichi Komatsu, Prerna Banati, Sempala Musoke, Itamar Katz, John Cutler, Paul Tran-Ba-Huy, Ronald Schwartländer
Primary Institution: The Global Fund to Fight AIDS, Tuberculosis and Malaria
Hypothesis
How are programs performing in countries at different levels of development, health systems strength, and disease burden?
Conclusion
Performance-based funding provides powerful incentives to scale up the fight against HIV, TB, and malaria.
Supporting Evidence
- 75% of country programs reached their targets.
- The poorest third of countries performed no worse than wealthier countries.
- Programs showing excellent performance achieved 120% of their initial targets.
Takeaway
This study shows that giving money based on results helps countries fight diseases like HIV, TB, and malaria better.
Methodology
The Global Fund analyzed 370 active grants to assess performance based on results against targets.
Potential Biases
The analysis may not fully account for the variability in health system strengths across different countries.
Limitations
There are concerns that performance-based funding may penalize poorer countries and may not be flexible enough.
Participant Demographics
The study involved programs in 130 countries, including poorer and fragile states.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website