Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jun 20;19(1):39.
doi: 10.1186/s12992-023-00942-9.

Comparative effectiveness of financing models in development assistance for health and the role of results-based funding approaches: a scoping review

Rand Mushasha  1   2 , Charbel El Bcheraoui  3
Affiliations

Comparative effectiveness of financing models in development assistance for health and the role of results-based funding approaches: a scoping review

Rand Mushasha et al. Global Health. .

Abstract

Over the past three decades, there has been an unprecedented growth in development assistance for health through different financing models, ranging from donations to results-based approaches, to improve health in low- and middle-income countries. Since then, the global burden of disease has started to shift. However, it is still not entirely clear what the comparative effect of the different financing models is. To assess the effect of these financing models on various healthcare targets, we systematically reviewed the peer-reviewed and gray literature. We identified 19 studies and found that results-based financing approaches have an overall positive impact on institutional delivery rates and numbers of healthcare facility visits, though this impact varies greatly by context.Donors might be better served by providing a results-based financing scheme combining demand and supply side health-related schemes. It is essential to include rigorous monitoring and evaluation strategies when designing financing models.

Keywords: Development assistance for health; Global health financing; Results based financing.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
PRISMA flowchart for selection of data
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. IHME. IHME Terms defined: IHME; [Available from: https://www.healthdata.org/terms-defined/d.
    1. Dieleman JL, Schneider MT, Haakenstad A, Singh L, Sadat N, Birger M, et al. Development assistance for health: past trends, associations, and the future of international financial flows for health. The Lancet. 2016;387(10037):2536–44. doi: 10.1016/S0140-6736(16)30168-4. - DOI - PubMed
    1. Stevens P. Foreign Aid for Health: moving beyond government. Int Policy Netw. 2008.
    1. Ottersen T, Kamath A, Moon S, Martinsen L, Rottingen JA. Development assistance for health: what criteria do multi-and bilateral funders use? Health Economics. Policy and Law. 2017;12(2):223–44. - PubMed
    1. Chang AY, Cowling K, Micah AE, Chapin A, Chen CS, Ikilezi G, et al. Past, present, and future of global health financing: a review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995–2050. The Lancet. 2019;393(10187):2233–60. doi: 10.1016/S0140-6736(19)30841-4. - DOI - PMC - PubMed

Publication types