{"id":96,"date":"2013-01-25T23:22:54","date_gmt":"2013-01-25T22:22:54","guid":{"rendered":"http:\/\/www.sina-health.com\/?page_id=96"},"modified":"2019-02-01T11:36:40","modified_gmt":"2019-02-01T10:36:40","slug":"afghanistan","status":"publish","type":"page","link":"https:\/\/www.sina-health.com\/?page_id=96","title":{"rendered":"Afghanistan"},"content":{"rendered":"<p><strong>Start:<\/strong>\u00a02003 and\u00a02012<br \/>\n<strong>Phase:\u00a0<\/strong>RBF initiatives nationwide<br \/>\n<strong>Coverage Estimate:\u00a0<\/strong>RBF 100%, PBF applied in Uruzgan Province<br \/>\n<strong>Feasibility:\u00a0<\/strong>Reasonable<br \/>\n<strong>Supported by:\u00a0<\/strong>MOH; WB; Cordaid<\/p>\n<p><strong>Description:\u00a0<\/strong>RBF or general contracting through NGOs was introduced since 2002. However, this is a Performance-Based Contracting\u00a0approach with centralization, limited autonomy of health facilities and no\u00a0contracts with private health providers. NGOs tend to mix the roles of CDV Agency, financing and provision. A successful &#8220;pure&#8221; PBF pilot was conducted\u00a0by Cordaid in Uruzgan province in August 2012, with encouraging results but was not scaled up.<\/p>\n<p>The RBF-light initiatives have now expanded nationwide, whereby the implementors claim that contracting out with NGOs has the best results compared to contracting-in. The World Bank financed SEHAT project includes a supply-side performance-based financing scheme. Under this scheme, the MPOH contracts-in MPOH providers and contracts-out international\/national Non-Governmental Organizations (NGOs) to improve the coverage and quality of the BPHS and EPHS. Inherent RBF payments are disbursed every semester based on the quantity and the quality of services delivered.<\/p>\n<p><strong>References:<br \/>\n<\/strong>Amelli, O. and W. Newbrander (2008). &#8220;Contracting for health services: effects of utilization and quality on the costs of the Basic Package of Health Services in Afghanistan.&#8221; Bulletin of the World Health Organization.<\/p>\n<p>Arur, A., D. Peters, et al. (2009). &#8220;Contracting for health and curative care use in Afghanistan between 2004 and 2005.&#8221; Health Policy and Planning.<\/p>\n<p>Loevinsohn, B. and G. D. Sayed (2008). &#8220;Lessons From the Health Sector in Afghanistan: How Progress Can Be Made in Challenging Circumstances.&#8221; JAMA 300(6): 724-726.<\/p>\n<p>Loevinsohn, B. (2008). Performance-Based Contracting for Health Services in Developing Countries: a toolkit. Washington DC.<\/p>","protected":false},"excerpt":{"rendered":"<p>Start:\u00a02003 and\u00a02012 Phase:\u00a0RBF initiatives nationwide Coverage Estimate:\u00a0RBF 100%, PBF applied in Uruzgan Province Feasibility:\u00a0Reasonable Supported by:\u00a0MOH; WB; Cordaid Description:\u00a0RBF or general contracting through NGOs was introduced since 2002. However, this is a Performance-Based Contracting\u00a0approach with centralization, limited autonomy of health facilities and no\u00a0contracts with private health providers. NGOs tend to mix the roles of CDV [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":305,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.sina-health.com\/index.php?rest_route=\/wp\/v2\/pages\/96"}],"collection":[{"href":"https:\/\/www.sina-health.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.sina-health.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.sina-health.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sina-health.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=96"}],"version-history":[{"count":12,"href":"https:\/\/www.sina-health.com\/index.php?rest_route=\/wp\/v2\/pages\/96\/revisions"}],"predecessor-version":[{"id":4000,"href":"https:\/\/www.sina-health.com\/index.php?rest_route=\/wp\/v2\/pages\/96\/revisions\/4000"}],"up":[{"embeddable":true,"href":"https:\/\/www.sina-health.com\/index.php?rest_route=\/wp\/v2\/pages\/305"}],"wp:attachment":[{"href":"https:\/\/www.sina-health.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=96"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}