- Global Maternal and Child Health
- Healthcare Policy and Management
- Healthcare Systems and Reforms
- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Health, psychology, and well-being
- Emergency and Acute Care Studies
- Workplace Health and Well-being
- Employment and Welfare Studies
- Advanced Causal Inference Techniques
- Health Systems, Economic Evaluations, Quality of Life
- Child Nutrition and Water Access
University Hospital Heidelberg
2016-2019
Heidelberg University
2016-2019
Performance-based financing (PBF) is assumed to improve health care delivery by motivating workers enhance their work performance. However, the exact motivational mechanisms through which PBF produce such changes are poorly understood date. Although increasingly recognized as a complex systems intervention, its effect for individual still often reduced financial 'carrots and sticks' in literature discourse. Aiming contribute development of more comprehensive understanding mechanisms, we...
To evaluate the impact of a performance-based financing scheme on maternal and neonatal health service quality in Malawi.We conducted non-randomized controlled before after study to effects district- facility-level performance incentives for workers management teams. We assessed changes facilities' essential drug stocks, equipment maintenance clinical obstetric care processes. Difference-in-difference regression models were used analyse adherence treatment protocols provision drugs, supplies...
Results Based Financing (RBF) interventions have recently gained significant momentum, especially in sub-Saharan Africa. However, most of the research has focused on evaluation impacts this approach, providing little insight into how contextual circumstances surrounding implementation contributed to its success or failure. This study aims fill a void current literature RBF by focusing explicitly process implementing intervention rather than impact. Specifically, focuses acceptability and...
A competent, responsive, and productive health workforce is central to a well-performing system capable of providing universal access high-quality care. Ensuring workers' psychological wellbeing critical sustaining their availability productivity. This particularly true in heavily constrained systems low- lower-middle-income countries. Research on the issue, however, scarce. study aimed contribute filling gap knowledge by investigating levels factors associated with mid-level workers...
Results-based financing (RBF) describes health system approaches addressing both service quality and use. Effective coverage is a metric measuring progress towards universal (UHC). Although considered means achieving UHC in settings with weak modalities, the impact of RBF on effective has not been explicitly studied.Malawi introduced Results-Based Financing For Maternal Neonatal Health (RBF4MNH) Initiative 2013 to improve maternal newborn services at emergency obstetric care facilities....
In low-income countries, studies demonstrate greater access and utilization of maternal neonatal health services, yet mortality rates remain high with poor quality increasingly scrutinized as a potential point failure in achieving expected goals. Comprehensive measures reflecting the multi-dimensional nature care could prove useful to improvement. However, existing tools often lack systematic approach all aspects considered relevant newborn care. We aim address this gap by illustrating...
The application of mixed methods in Health Policy and Systems Research (HPSR) has expanded remarkably. Nevertheless, a recent review highlighted how many studies do not conceptualize the quantitative qualitative component as part single research effort, failing to make use integrated approaches data collection analysis. More specifically, current rarely rely on emergent designs specific feature this methodological approach. In our work, we postulate that explicitly acknowledging nature by...