Evaluation of the Provider Incentive Payments Pilot on Reproductive Health
Services in the Egyptian Health Sector Reform Programme
Description
The main goal of this study is to further the development of district provider organizations'
capacity to effectively and efficiently manage contractual arrangements for the Basic Benefit
Package and other types of financing reforms.
The incentive payment scheme was established in five Egyptian governorates (Alexandria, Menoufia, Qena, Suhag and Suez)
during the Health Sector Reform Programme (HSRP) pilot phase.
Menoufia and Suhag governorates were selected as the sites for this study for two reasons:
- Represent Lower and Upper Egypt
- The incentive payment reform has been in place the longest of any HSRP site
Two criteria were used to design the sampling frame for selection of PHCUs in each of the selected DPOs:
- PHCU has not been moved nor will be moved during the period of this study from its current site.
- PHCU has been accredited for at least one year to ensure measuring the impact of an established incentive payment reform.
Within each of the selected DPOs, all the officials with any responsibility for the incentive payment scheme and all the physicians were contacted for participation in the study.
The study included all women in the reproductive age (15-49 years) who attended the four selected PHCUs receiving
incentives (cases) and the four selected PHCUs with no incentive scheme (controls) and accepted to participate in
the study upon their exit from the sampled PHCUs.
Collaborating institutions
Social Research Center of the American University in Cairo
Egypt Ministry of Health and Population
Department of Reproductive Health and Research, World Health Organization, Geneva
Sponsor
World Health Organization (WHO/HQ): LE 619,977
Objectives of the study
1. Assess the impact of the provider incentive scheme on the quality of care (including patient responsiveness) and health facility performance with focus on reproductive health services.
2. Examine the satisfaction of DPO officials and health care providers with the incentive payment scheme and the capacity of the DPO to effectively manage the scheme.
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