Rwanda's Pay-for-Performance Scheme for Health Services
2016
This case study describes the implementation of the pay for performance (P4P) system in Rwanda in the aftermath of its 1994 genocide, which left its health system in desperate need of rebuilding. P4P incentivized healthcare providers to do work that improved health. An impact evaluation found that this program, which operated nationwide for the first time in 2008, found that health care workers were less absent, more efficient, and took more initiative to treat underserved populations. Notably, the program has allowed the Rwandan health system to improve performance even under conditions of deficient supplies and infrastructure.
This case study is part of Millions Saved: New Cases of Proven Success in Global Health, a collection of case studies produced by the Center for Global Development that describes successful examples of large-scale efforts to improve health in low- and middle-income countries, as well as promising interventions that fell short of their health targets when scaled-up in real world conditions. The cases featured on the website are shortened versions of the respective book chapters in the print edition.
Rwanda's Pay-for-Performance Scheme for Health Services
Source:
Glassman A, Temin M. Rwanda’s Pay-for-Performance Scheme for Health Services. Millions Saved: New Cases of Proven Success in Global Health. Center for Global Development 2016. http://millionssaved.cgdev.org/case-studies/rwandas-pay-for-performance-scheme-for-health-services.