Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Reengineering Pediatric Services with Results-Based Financing: Evidence from Northern Uganda

Version 1 : Received: 21 June 2024 / Approved: 22 June 2024 / Online: 24 June 2024 (12:21:30 CEST)

How to cite: Moro-Visconti, R.; Omona, V.; Smart, G.; Ochola, E.; D'Agostino, E.; Greco, L. Reengineering Pediatric Services with Results-Based Financing: Evidence from Northern Uganda. Preprints 2024, 2024061665. https://doi.org/10.20944/preprints202406.1665.v1 Moro-Visconti, R.; Omona, V.; Smart, G.; Ochola, E.; D'Agostino, E.; Greco, L. Reengineering Pediatric Services with Results-Based Financing: Evidence from Northern Uganda. Preprints 2024, 2024061665. https://doi.org/10.20944/preprints202406.1665.v1

Abstract

Results-Based Financing (RBF) in pediatrics, in regions with scarce resources like Northern Uganda, provides an innovative approach to enhancing healthcare delivery. RBF aligns financial incentives with desired health outcomes, boosting service quality, efficiency, and effectiveness by tying compensation to achieving specific, measurable health targets. Lacor and Kalongo hospitals, before the introduction of RBF, faced numerous challenges, including limited resources, staffing shortages, and inconsistent quality of care. RBF adoption requires critical health outcomes to target, such as lowering child mortality rates, enhancing vaccination coverage, and increasing the frequency of timely prenatal care visits. The empirical application of RBF in pediatric services at Lacor and Kalongo Hospital from 2018 to 2024 shows improved healthcare quality and outcomes. Healthcare systems can identify ways to implement RBF models better, ensuring that financial incentives effectively contribute to attaining superior health outcomes.

Keywords

Maternal and child healthcare, low and middle-income countries (LMIC), Pay for performance (P4P), Value-Based Care, Sustainable Development Goals (SDGs).

Subject

Public Health and Healthcare, Public Health and Health Services

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