Why performance-based contracting failed in Uganda – An “open-box” evaluation of a complex health system intervention

Freddie Ssengooba, Barbara McPake and Natasha Palmer

Social Science & Medicine, 2012, vol. 75, issue 2, 377-383

Abstract: Performance-based contracting (PBC) is a tool that links rewards to attainment of measurable performance targets. Significant problems remain in the methods used to evaluate this tool. The primary focus of evaluations on the effects of PBC (black-box) and less attention to how these effects arise (open-box) generates suboptimal policy learning. A black-box impact evaluation of PBC pilot by the Development Research Group of the World Bank (DRG) and the Ministry of Health (MOH) concluded that PBC was ineffective.

Keywords: Performance-based contracting; Health program evaluation; Health system; Case study; Uganda (search for similar items in EconPapers)
Date: 2012
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Citations: View citations in EconPapers (11)

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DOI: 10.1016/j.socscimed.2012.02.050

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