Start: 1998, 2011 and 2013
Phase: P4P pilot since 1998- Roll out in 2011 and in 2013 start of a small PBF pilot in one department covering 7 health facilities with the objective to roll out PBF nation-wide
Coverage Estimate: 5%
Feasibility Score: 58%
Supported by: MOH; USAID; MSH, local NGO, World Bank

Description: In 1999, USAID, with the assistance of Management Sciences for Health, piloted a performance-based contracting (PBC) scheme with three non- governmental organizations (NGOs), which provided health services to approximately 534,000 people. NGOs were paid, in part, based on the achievement of performance targets or outputs. The approach has further evolved and has been expanded to include 25 NGOs that were considered as of 2005 to be ready to implement a performance-based approach. In 2011, 27 NGOs and 16 public sites within six departmental directorates were supported under a performance-based approach.

Over the past years, the MOH has become more interested in PBF and started a small pilot in one department covering 7 health facilities. The MOH has agreed with USAID and the WB to scale up PBF in Haiti. Yet, the feasibility score in 2015 was only 58%, which implies that improvements in the design are still required.


RBF website of the Ministry of Health of Haiti.

Eichler, R., P. Axila, et al. (2001). Promoting preventive health care, Paying for performance in Haiti. Contracting for Services: Output Based Aid and its Applications.

Eichler, R., P. Auxila, et al. (2009). Haiti: Going to Scale with a Performance Incentive Model. Performance Incentives for Global Health: Potential and Pitfalls. R. Eichler and R. Levine. Washington DC, Center for Global Development.


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