Effects of payment for performance on accountability mechanisms: evidence from pwani, tanzania
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Effects of payment for performance on accountability mechanisms: evidence from pwani, tanzania
Accepted ManuscriptEffects of Payment for Performance on accountability mechanisms: Evidence fromPwani, TanzaniaIddy Mayumana. Jo Borghi. Laura Anselm Effects of payment for performance on accountability mechanisms: evidence from pwani, tanzaniami. Masuma Mamdani, Siri LangePH:S0277-9536( 17)30111-9DOI:10. lOie/j.socscimed.2017.02.022Reference.SSM 11077To appear in:Social Science & MedicineReceived Date.42546Revised Date:Accepted Date.4277942779Please cite this article as: Mayumana, I., Borghi, J , Anselmi. L., Mamdani. M., Lange, s , Effe Effects of payment for performance on accountability mechanisms: evidence from pwani, tanzaniacts of Payment for Performance on accountability mechanisms. Evidence from Pwani, Tanzania. Social Science & Medicine (2017), doi. 10.1016/j.socscimedEffects of payment for performance on accountability mechanisms: evidence from pwani, tanzania
.2017.02.022.This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this Accepted ManuscriptEffects of Payment for Performance on accountability mechanisms: Evidence fromPwani, TanzaniaIddy Mayumana. Jo Borghi. Laura Anselm Effects of payment for performance on accountability mechanisms: evidence from pwani, tanzaniainal form Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.ACCEPTED MANUSCRIPT123456789101112131415161718192021Effects of Payment for Performance on accountability mechanisms: Evidence Effects of payment for performance on accountability mechanisms: evidence from pwani, tanzaniafrom Pwani, TanzaniaPayment for Performance (P4P) aims to improve provider motivation to perform better, but little is known about the effects of P4PEffects of payment for performance on accountability mechanisms: evidence from pwani, tanzania
on accountability mechanisms. We examined the effect of P4P in Tanzania on internal and external accoimtability mechanisms. We earned out 93 individuaAccepted ManuscriptEffects of Payment for Performance on accountability mechanisms: Evidence fromPwani, TanzaniaIddy Mayumana. Jo Borghi. Laura Anselm Effects of payment for performance on accountability mechanisms: evidence from pwani, tanzania1 - 2013. We carried out surveys in 150 health facilities across Pwani region and four control districts, and interviewed 200 health workers, before the scheme was introduced and 13 months later. We examined the effects of P4P on internal accountability mechanisms including management changes, super Effects of payment for performance on accountability mechanisms: evidence from pwani, tanzaniavision, and priority setting, and external accountability mechanisms including provider responsiveness to patients, and engagement with Health FacilitEffects of payment for performance on accountability mechanisms: evidence from pwani, tanzania
y Governing Committees. P4P had some positive effect on internal accountability, with increased timeliness of supervision and the provision of feedbacAccepted ManuscriptEffects of Payment for Performance on accountability mechanisms: Evidence fromPwani, TanzaniaIddy Mayumana. Jo Borghi. Laura Anselm Effects of payment for performance on accountability mechanisms: evidence from pwani, tanzania as drug stock-outs due to increased financial autonomy and responsiveness from managers. Management practices became less hierarchical, with less emphasis on bureaucratic procedures. Effects on external accountability were mixed, health workers treated pregnant women more kindly, but outreach activ Effects of payment for performance on accountability mechanisms: evidence from pwani, tanzaniaities did not increase. Facilities were more likely to have committees but their role was largely limited. P4P resulted in improvements in internal acEffects of payment for performance on accountability mechanisms: evidence from pwani, tanzania
countability measures through improved relations1Accepted ManuscriptEffects of Payment for Performance on accountability mechanisms: Evidence fromPwani, TanzaniaIddy Mayumana. Jo Borghi. Laura AnselmAccepted ManuscriptEffects of Payment for Performance on accountability mechanisms: Evidence fromPwani, TanzaniaIddy Mayumana. Jo Borghi. Laura AnselmGọi ngay
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