In Bangladesh, improving skilled birth attendance at delivery and access to facility-based obstetric and newborn care are vital to improving maternal and neonatal health. The health system in Bangladesh faces a critical challenge on the supply side: unavailability of quality services at public health facilities, due to inadequately motivated providers, vacant positions, and provider absenteeism. As well, salaries of public-sector providers do not depend on quality of work or quantity of services provided. Paying an incentive to facilities based on a performance benchmark has the potential of increasing the quantity and quality of maternal, neonatal, and child health (MNCH) care. The Population Council proposes a pilot study that will test two innovative service delivery models to provide financial incentives to facilities to enhance performance, and subsidized coupons to poor clients to increase access and utilization of MNCH services. As part of the proposed pay-for-performance (P4P) project, policy workshops were organized to develop an implementable P4P Guideline and Coupon Guidelines. Findings from these workshops are detailed in this report.
Talukder, Md. Noorunnabi, Ubaidur Rob, Ismat Ara Hena, Farhana Akter, Mohammad Ataur Rahman, and Md. Julkarnayeen. 2010. "Workshop report: Introducing pay-for-performance (P4P) approach and increase utilization of maternal, newborn, and child health services in Bangladesh." Dhaka: Population Council.
Pay-for-Performance (P4P) to Increase Use of Maternal, Neonatal, and Child Health Services in Bangladesh
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