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Brief 3: Value for Money – Results of the Economic Evaluation: Evaluation of Malawi’s Support For Service Delivery Integration PBI Intervention

The SSDI-PBI program aims to increase access, utilization, and quality of essential health services by linking rewards to service utilization and quality indicators across a range of conditions and services.

Brief 2: Facilitators and Barriers of Implementation: Evaluation of Malawi’s Support For Service Delivery Integration PBI Intervention

The SSDI-PBI program aims to increase access, utilization, and quality of essential health services by linking rewards to service utilization and quality indicators across a range of conditions and services. Implemented by the Ministry of Health with funding from USAID and technical support from Jhpiego and Abt Associates, the program operates in 17 facilities across Chitipa, Nkhotakota, and Mangochi districts.

Brief 1: Effect of Incentives on Service Quantity and Quality: Evaluation of Malawi’s Support For Service Delivery Integration PBI Intervention

The SSDI-PBI program aims to increase access, utilization, and quality of essential health services by linking rewards to service utilization and quality indicators across a range of conditions and services. Implemented by the Ministry of Health with funding from USAID and technical support from Jhpiego and Abt Associates, the program operates in 17 facilities across Chitipa, Nkhotakota, and Mangochi districts.

A qualitative study assessing the acceptability and adoption of implementing a results based financing intervention to improve maternal and neonatal health in Malawi

Abstract
 
Background
Results Based Financing (RBF) interventions have recently gained significant momentum, especially in sub-Saharan Africa. However, most of the research has focused on the evaluation of the impacts of this approach, providing little insight into how the contextual circumstances surrounding the implementation have contributed to its success or failure. This study aims to fill a void in the current literature on RBF by focusing explicitly on the process of implementing a RBF intervention rather than on its impact.

Evaluating complex health financing interventions: using mixed methods to inform further implementation of a novel PBI intervention in rural Malawi

This article, developed by University of Heidelberg, highlights research results from a TRAction-funded study on the Ministry of Malawi's Service Delivery Integration - PBI (SSDI-PBI) program implemented in rural Malawi. The SSDI-PBI program is unique in that no portion of performance bonuses are paid to individual health workers, and it shifts responsibility for infrastructure and equipment procurement from facility staff to implementing partners.

Task Sharing Effort Brief

This brief entitled “Task Shifting & Sharing: Training Associate Clinicians to Provide Emergency Obstetric Care” provides an overview of four implementation research studies that have been conducted in four African countries, each with a different context and approach to implementing its task sharing program.

Democratic Republic of the Congo Country Case Study on Quality of Care in Performance-Based Incentives Programs

As part of a global review of quality of care in PBI programs, the USAID|Translating Research into Action (TRAction) Project and ThinkWell have produced a series of five case studies examining how and to what extent quality has been incentivized within PBI programs in the Democratic Republic of the Congo, Malawi, Mozambique, Nigeria, and Senegal. The mechanism that is the subject of this case study is a USAID-funded, co-implementation between the government of the Democratic Republic of Congo (DRC) and Management Sciences for Health (MSH), and NGO.

Results-Based Financing in Malawi - Brief 4: Insights on Respectful Maternal Care in the Context of the RBF4MNH Initiative

This brief, jointly developed by TRAction and the University of Heidelberg, highlights findings related to RMC that emerged from an evaluation of the RBF4MNH initiative in Malawi. While the Initiative was not designed to explicitly address respectful care, the evaluation uncovered several facets of disrespect and abuse, particularly just before, during and following childbirth. All RBF4MNH facilities were required to conduct monthly exit interviews with at least 10 women that assessed patient satisfaction, provider attitudes, and facility readiness.

Results-Based Financing - Brief 3: Provider Perceptions of the Results-Based Financing for Maternal and Neonatal Health (RBF4MNH) Initiative

This brief, jointly developed by TRAction and University of Heidelberg, is based on a qualitative research approach (44 in-depth interviews among providers from 16 facilities across the four intervention districts); the findings are representative of provider opinions. Information was gathered from nurses, clinical officers and medical assistants.
 

Results-Based Financing in Malawi - Brief 2: Effect of the RBF4MNH Initiative on the Quality of Maternal and Neonatal Health Care Services

This brief, jointly developed by the University of Heidelberg and TRAction, describes the effect RBF4MNH had on a selection of clinical performance indicators incentivized by the initiative.
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