Pay for Performance (P4P) Operations Research Study
Following a successful feasibility study on introducing a P4P financing scheme, the Population Council is now conducting operations research to test the potential of this service-delivery model to increase utilization of maternal, newborn, and child health care through performance-based payment to providers.
Lack of skilled birth attendance is one of the key contributing factors to high maternal and neonatal mortality in Bangladesh. Limited utilization of maternal, newborn, and postnatal care by trained professionals is influenced by both demand- and supply-side barriers. As a follow-up to a study funded by the Center for Global Development on the feasibility of introducing a Pay for Performance financing mechanism in Bangladesh, the Council is now assisting in an operations research study funded by UNICEF to develop and test the service-delivery model to increase utilization of maternal, newborn, and child health care, as well as postpartum contraceptive services, through performance-based payment to service providers.
The approach will involve a combination of supply- and demand-generated factors. On the supply side, a system to pay service providers in the public sector based on performance will be developed. Financial incentives will be offered at the institutional level and directed toward improving health outcomes by motivating and encouraging providers to be accountable and responsive to the patients they serve. On the demand side, financial assistance will be provided to poor pregnant women for medicine and transport to services at health facilities. To maximize potential scale-up, the project will be implemented in districts where UNICEF/Bangladesh and BRAC have partnered on effective maternal, newborn, and child health interventions.
If results of the operations research project demonstrate feasibility and effectiveness, one or both interventions will be scaled up to a larger but manageable number of facilities. This controlled scaling-up will be systematically documented to understand critical system-level elements that must be addressed before recommendations can be made about introducing the intervention to the national program.
Incentivizing providers to improve maternal, newborn and child health services in Bangladesh: Pay-for-performance model refinement and advocacy (P4P MRA) final report (PDF)
Talukder,Md.Noorunnabi; Rob,Ubaidur; Rahman,Laila; Zafar Ullah Khan,A.K.M.; Mahmud,Riad; Alim,Azizul; Hena,Ismat Ara; Akter,Farhana; Dey,Anup Kumar
Publication date: 2012
A P4P model for increased utilization of maternal, newborn and child health services in Bangladesh (PDF)
Talukder,Md.Noorunnabi; Rob,Ubaidur; Rahman,Laila; Hena,Ismat Ara; Zafar Ullah Khan,A.K.M.
Publication date: 2011
A pay-for-performance innovation integrating the quantity and quality of care in maternal, newborn and child health services in Bangladesh (PDF)
Rahman,Laila; Rob,Ubaidur; Mahmud,Riad; Alim,Azizul; Hena,Ismat Ara; Talukder,Md.Noorunnabi; Rahman,Md.Hafizur
P4P Final Report
Publication date: 2011
A pay-for-performance model for increased utilization of maternal, newborn and child health services in Bangladesh
Talukder,Md.Noorunnabi; Rob,Ubaidur; Rahman,Laila; Hena,Ismat Ara; Zafar Ullah Khan,A.K.M.
P4P Policy Brief
Publication date: 2011
Guidelines for facility-based maternal and perinatal death review for Gaibandha and Kurigram Districts
Directorate General of Health Services (DGHS); Population Council; UNICEF
Publication date: 2011
Innovative financing through pay-for-performance for providers to improve quality of care in Bangladesh: Transforming research into action (PDF)
Talukder,Md.Noorunnabi; Rob,Ubaidur; Rahman,Laila; Hena,Ismat Ara
Workshop report
Publication date: 2011
Innovative financing through pay-for-performance for providers to improve quality of care in Bangladesh: Transforming research into action (PDF)
Talukder,Md.Noorunnabi; Rahman,Laila; Hena,Ismat Ara
Workshop brief
Publication date: 2011
Introducing pay-for-performance approach to increase utilization of maternal, newborn and child health services in Bangladesh
Hena,Ismat Ara; Rahman,Laila; Rob,Ubaidur; Julkarnayeen,Md.; Acharja,Liton
P4P Research Update (no. 2)
Publication date: 2011
Measuring the quality of care in maternal, newborn and child health services in Bangladesh
Rahman,Laila; Rob,Ubaidur; Hena,Ismat Ara; Talukder,Md.Noorunnabi; Ratcliffe,Hannah; Haque,Eashita; Rahman,Md.Ataur; Julkarnayeen,Md.; Dey,Anup Kumar; Sultana,Nargis
P4P Research Update (no. 3)
Publication date: 2011
Pay-for-performance for providers and clients: An alternate model to improve maternal, newborn and child health in Bangladesh
Presentation at the 13th Annual Scientific Conference of ICDDR,B: Science to Accelerate Universal Health Coverage, Dhaka, Bangladesh, 14-17 March
Rahman,Laila; Rob,Ubaidur; Talukder,Md.Noorunnabi; Hena,Ismat Ara; Ahmed,Lubana; Alam,ABM Jahangir
Publication date: 2011
Pay-for-performance for providers in public health facilities in Bangladesh: Does it pay off?
Presentation at the 38th Annual International Conference on Global Health: Securing a Healthier Future in a Changing World, Washington, DC, 13-17 June
Rahman,Laila; Rob,Ubaidur; Ahmed,Lubana; Talukder,Md.Noorunnabi; Hena,Ismat Ara
Publication date: 2011
Performance based financing for providers to address the maternal, newborn and child health services in Bangladesh
Rahman,Laila; Rob,Ubaidur; Mahmud,Riad; Alim,Azizul; Hena,Ismat Ara; Talukder,Md.Noorunnabi
P4P Project Brief
Publication date: 2011
Performance-based incentive matters to increase utilization of maternal, newborn and child health services in Bangladesh (abstract)
Presentation at the American Public Health Association 139th Annual Meeting and Exposition, 31 October
Rob,Ubaidur; Rahman,Laila; Talukder,Md.Noorunnabi; Hena,Ismat Ara
Publication date: 2011
Performance-based payment to providers: A new twist with institutional targets to improve facility performance (abstract)
Presentation at the American Public Health Association 139th Annual Meeting and Exposition, 2 November
Rahman,Laila; Rob,Ubaidur; Talukder,Md.Noorunnabi; Hena,Ismat Ara
Publication date: 2011
Quality of care in private and public facilities: Making childbirth cherished and safe for women in Bangladesh (abstract)
Presentation at the American Public Health Association 139th Annual Meeting and Exposition, 30 October
Rahman,Laila; Rob,Ubaidur; Talukder,Md.Noorunnabi; Hena,Ismat Ara
Publication date: 2011
Facility assessment report: Introducing pay-for-performance (P4P) approach to increase utilization of maternal, newborn, and child health services in Bangladesh (PDF)
Talukder,Md.Noorunnabi; Rob,Ubaidur; Rahman,Laila; Hena,Ismat Ara; Akter,Farhana; Rahman,Mohammad Ataur; Julkarnayeen,Md.; Akteruzzaman,Md.; Rana,Md.Sohel; Ali,Ripa
Publication date: 2010
Guidelines for pilot study on introducing pay-for-performance (P4P) approach to increase utilization of maternal, newborn and child health services in Bangladesh (PDF)
Directorate General of Health Services (DGHS); Population Council; UNICEF
Publication date: 2010
Introducing pay-for-performance (P4P) approach to improve maternal, newborn, and child health in Bangladesh (PDF)
Rahman,Laila; Rob,Ubaidur; Talukder,Md.Noorunnabi; Hena,Ismat Ara; Akter,Farhana; Rahman,Md.Ataur; Julkarnayeen,Md.
P4P Research Update (no. 1)
Publication date: 2010
Manual on financial mechanism for the health facilities: Introducing pay-for-performance approach to increase utilization of maternal, newborn, and child health services in Bangladesh (PDF)
Rahman,Laila; Shil,Dipak Kumar; Rashid,Md.Mamun-or; Hena,Ismat Ara; Talukder,Md.Noorunnabi; Akter,Farhana; Dey,Anup Kumar; Ali,Ripa; Abedin,Joynal; Rahman,Mursheda; Rahman,Md.Ataur; Julkarnayeen,Md.; Rahman,Arifur; Sardar,Md.Abdur Rab
Publication date: 2010
Tying incentive with the quality of care to improve maternal health care in Bangladeshi facilities
Presentation at Global Maternal Health Conference, New Delhi, 30 August- September
Rahman,Laila; Rob,Ubaidur; Ahmed,Lubana; Hena,Ismat Ara; Talukder,Md.Noorunnabi
Publication date: 2010
Workshop report: Introducing pay-for-performance (P4P) approach and increase utilization of maternal, newborn, and child health services in Bangladesh (PDF)
Talukder,Md.Noorunnabi; Rob,Ubaidur; Hena,Ismat Ara; Akter,Farhana; Rahman,Mohammad Ataur; Julkarnayeen,Md.
Publication date: 2010
Brief report: Activities and achievements of the P4P Project -- Introducing pay-for-performance (P4P) approach to increase utilization of maternal, newborn, and child health services in Bangladesh (PDF)
Population Council
Publication date:
Project Stats
Location: Bangladesh
Program(s):
Reproductive Health
Topic(s):
Maternal and newborn health
Strengthening health systems
Duration: 2/2010 - 6/2011
Population Council researchers:
Ubaidur Rob
Donors:
United Nations Children's Fund
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