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Potential of Performance Based Payment

Future Health Systems

Mohammed Iqbal, Sabrina Rasheed, Syed Manzoor Ahmed Hanifi and Abbas Bhuiya Reaching the poor with performance based payment for safe delivery services in rural Bangladesh. Health system strenghtening : role of conditional incentives. Bulletin 112 Medicus Mundi Schweiz, May 2009


In Bangladesh the rates of maternal mortality have not reduced appreciably over the past decade. Although many of these deaths could be prevented by providing safe motherhood services through skilled birth attendants, equitable access to these services for the poor remains a problem. This article illustrates how a performance based payment scheme can decrease this inequity and provide lessons for future programs.