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.

Based on these initial results with RBF, the Ministry of Public Health and Population (MSPP) made RBF mechanisms one of the key pillars of the 2012 National Health Strategy. The new Haiti’s National RBF program has, however, few markedly different features from the original program. First, this new program pays health facilities directly rather than paying Non-Governmental Organizations to deliver results; in addition, the RBF funds received are based on a fee-for-service schedule rather than a target-based system used in the previous program. Further, the performance bonuses under this newer program make up a larger share of the overall payment to health facilities.


RBF website of the Ministry of Health of Haiti and the World Bank

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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