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Performance Evaluation of a USAID Performance Based Incentives (PBI) Program to Improve the Uptake and Quality of Essential Health Care Services in Malawi

The purpose of this Request for Applications (RFA) is to fund research that will evaluate the USAID|Malawi Performance Based Incentives (PBI) pilot scheme, as implemented by the Support for Service Delivery Integration Project, and compare it to stated PBI objectives and provide insights into whether or not the USAID PBI model should benefit from continued funding, or if alternatively, resources could be better invested in quality improvement or capital investments alone.

The USAID-funded PBI-style model in Malawi, where incentives are provided through non-salary methods to facilities as opposed to individuals, is implemented through the Support for Service Delivery Integration (SSDI) Project, a five-year USAID funded flagship project that aims to support the Government of Malawi in the implementation of the Health Sector Strategic Plan (2011-2016) and its efforts to achieve the MDGs by 2015.  The objective of this pilot is to increase access, utilization, and quality of Essential Health Package services delivered at health facilities and in communities.

Background: PBI in Malawi

The mobilization and use of financial resources is one of the key objectives of the Malawi Health Sector Strategic Plan (2011-2016). This objective looks to increase the overall financial resources and allocate them efficiently and equitably. In order to help maximize results, one strategy that the Ministry of Health has decided to pilot is Performance-Based Incentives (PBI). Performance-Based Incentives are a type of Results Based Financing which links rewards to performance.

In the case of Malawi, PBI schemes reward health facilities based on the services they offer, how they meet the pre-agreed performance targets, and how they meet their quality of care standards. The PBI rewards are designed to improve the morale of health personnel through facility improvements, which will significantly improve their working environment, and through public recognition. Performance-Based Incentives is not a new concept in Malawi. There is evidence of many PBI or PBI-style schemes which already exist in Malawi demonstrating that the principle of performance-based payments is understood and practiced. This research will help understand how to best implement these programs.

Responses to questions received by the deadline of March 30, 2022 are posted below in an attachment.

 

 

Category: 
Previously Awarded
Questions Due: 
Monday, March 30, 2022
Applications Due: 
Monday, April 13, 2022
File Attachment(s): 
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