Uganda

Start: 2009
Phase: Failed WB RBF pilot in 2006. New Cordaid financed pilot since 2009
Coverage Estimate: 1%
Feasibility: Good
Supported by: Cordaid – WB?

Description: The World Bank financed RBF project 2003-2006 (Performance-Based Contracting) had many imperfections and consequently failed to deliver desired results. New pilots have been started by faith-based organisations financed through Cordaid and discussions are ongoing with government to expand. However, the failure of the first pilot still plays a negative role. The PBC project was not well-designed nor well-implemented. 

References:
Ssengooba, F., B. McPake, et al. (2012). “Why performance-based contracting failed in Uganda – An “open-box” evaluation of a complex health system intervention.” Social Science & Medicine (in press).

Orem, J. N., F. Mugisha, et al. (2011). “Abolition of user fees: the Uganda paradox.” Health Policy and Planning 26(Supplement 2): 41-51.

Morgan, L. (2010) “Some Days are Better than Others: Lessons Learned from Uganda’s first Results-Based Financing Pilot”.

Bellows, B. and M. Hamilton (2009). “Vouchers for Health: Increasing Utilization of Facility-Based STI and Safe Motherhood Services in Uganda. Maternal and Child Health P4P Case Study”. Bethesda MD, Health Systems 20/20 Abt Assoc Inc.

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