Why there is so much enthusiasm for performance-based financing, particularly in developing countries

Abstract

are therefore welcome. However, some of their points of criticism are based on misunderstandings and they transpose assumptions about behaviour in high-income countries to low-income settings. Ironically, their criticism only strengthens the case for PBF, since the mentioned authors do not propose any alternative for PBF but linger in the status quo, which most people would agree is detrimental to development and health.Since PBF was first used around 15 years ago, there has been an open debate about its pros and cons. There has been criticism that incentive payments focused too much on quantity and not on quality. We subsequently adapted the incentives towards improv -ing quality with very favourable results shown in recent evaluations from Burundi,

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