Pagamento por desempenho (P4P) / Financiamento baseado em desempenho (PBF) em países de renda baixa e média

How do the implementation and re-formulation processes of P4P/PBF in PHC affect health system strengthening in LMICs around the Globe? A comparative policy and system analysis in global health

RESEARCH PROJECT OBJECTIVES 

General Objective

To explore if/how the implementation and re-formulation of P4P/PBF programs have affected two (of the six) health system building blocks (leadership and workforce) in LMICs adopting varied/similar organizational models and at specific stages of development of PHC, in different Regions/Continents of the Globe.

Specific Objectives

[Review & Framework] To develop a concept and state-of-the-art rapid literature review and further develop the comparative framework of analysis to compare countries with different/similar models/stages of development in PHC. [Implementation and Re-formulation] To characterize the implementation and re-formulation process of P4P/PBF according to relevant policy drivers in LMICs with different/similar models/stages of development in PHC. [Impact on HS] To explore how both the implementation and re-formulation processes related to P4P/PBF, in countries with distinct models/stages of development of PHC, have affected performance drivers and thus enabled (or not) changes in the HSSBB of leadership and workforce.

GRANT - SHAPES/HSG: 

Dr. Fabiana C. Saddi was awarded a small grant from the Health Systems Global thematic group SHAPES (Social Science Approaches for Research and Engagement in Health Policy & Systems) to develop this project.

Research Ethics approval:

Obtained from the Federal University of Goias Research Ethics Committee (CEP/UFG). Authorisation/CAAE: 86761218.8.0000.5083, 4th June 2018.