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Publications

Filtering by Tag: Cyrus Engineer

Effectiveness of a pay-for-performance intervention to improve maternal and child health services in Afghanistan: a cluster-randomized trial

Future Health Systems

Engineer C, Dale E, Agarwal A, Agarwal A, Alonge O, Edward A, Gupta S, Schuh H, Burnham G, Peters DH (2016) Effectiveness of a pay for performance intervention to improve maternal and child health services in Afghanistan: A cluster-randomized trial, International Journal of Epidemiology, doi: 10.1093/ije/dyv362

A cluster randomized trial of a pay-for-performance (P4P) scheme was implemented in Afghanistan to test whether P4P could improve maternal and child (MCH) services. The authors found that the intervention had minimal effect, possibly due to difficulties communicating with health workers and inattention to demand-side factors. P4P interventions need to consider management and community demand issues.

 

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Assessing the pro-poor effect of different contracting schemes for health services on health facilities in rural Afghanistan

Future Health Systems

Alonge O, Gupta S, Engineer C, Salehi AS, Peters DH, (2015) Assessing the pro-poor effect of different contracting schemes for health services on health facilities in rural Afghanistan, Health Policy & Plannning, 30 (10): 1229-1242, doi: 10.1093/heapol/czu127

Despite progress in improving health outcomes in Afghanistan by contracting public health services through non-governmental organizations (NGOs), inequity in access persists between the poor and non-poor. This study examined the distributive effect of different contracting types on primary health services provision between the poor and non-poor in rural Afghanistan.

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