Paying for Performance to Improve the Delivery of Health Interventions in Low- and Middle-Income Countries

Publication Details

Witter, S., Fretheim, A., Kessy, F.L., and Lindahl, A.K.. (2012) Paying for performance to improve the delivery of health interventions in low- and middle-income countries. Cochrane Database of Systematic Reviews, 2. Art. No.: CD007899.

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Sophie Witter, Atle Fretheim, Flora L. Kessy, Anne Karin Lindahl
All Low and Middle Income Countries
Health Nutrition and Population
Health Sector Reform, Health Services
Equity Focus
None specified
Review Type
Effectiveness review


Paying for performance is increasingly considered to be an important tool to improve health-care delivery systems. Various organisations, including health- care providers and governments, are implementing “paying for performance strategies” to attain health-related Millennium Development Goals. However, there is a lack of evidence assessing the effectiveness of these programmes.

Research objectives

As stated by the authors in the protocol: “The overall objective of the systematic review is to summarise the current evidence for the effects of paying for performance on the provision of health care and health outcomes in low and middle-income settings”.

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