Payment-by-results for health interventions in low- and middle-income countries: A critical review

Duvendack, Maren ORCID: (2022) Payment-by-results for health interventions in low- and middle-income countries: A critical review. Development Policy Review, 40 (1). ISSN 0950-6764

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Motivation: Payment‐by‐results (PbR) is now an important form of conditionality, whereby donors disburse development aid on achieving a pre‐agreed measure. Purpose: The article presents a critical review of PbR for health interventions, aiming to draw out lessons about the implementation and impact of PbR in international development programmes. Approach and Methods: An extensive search identified 81 studies that varied widely in terms of health sub‐themes, geographical regions and methodological quality. Findings: Employing the Measure‐Agent‐Principal (MAP) framework we find that governments are the dominant principal in most of these studies, and health facilities and individuals the dominant agent; 60% of the evidence reports a wide range of heterogeneous output‐level measures. Policy implications: We assess PbR in the context of health to better understand whether it is an effective aid‐delivery mechanism more broadly, and find that positive and significant effects dominate. We include evidence maps to highlight research gaps in the PbR literature.

Item Type: Article
Uncontrolled Keywords: aid conditionality,aid delivery,critical review,health,payment-by-results,geography, planning and development,development,management, monitoring, policy and law,sdg 1 - no poverty ,/dk/atira/pure/subjectarea/asjc/3300/3305
Faculty \ School: Faculty of Social Sciences > School of International Development
UEA Research Groups: Faculty of Social Sciences > Research Groups > Impact Evaluation
Faculty of Social Sciences > Research Groups > Gender and Development
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Depositing User: LivePure Connector
Date Deposited: 03 Dec 2020 00:48
Last Modified: 06 Dec 2022 01:38
DOI: 10.1111/dpr.12538

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