Related Experiment Videos
The Extent to Which Performance-Based Financing Programs' Operations Manuals Reflect Rights-Based Principles:
Marie S Cole1, Victoria Boydell2, Karen Hardee3
1PAI, Washington, DC, USA.
Global Health, Science and Practice
|June 29, 2019
Summary
Performance-based financing (PBF) manuals for family planning services mention rights but lack a systematic rights-based approach. Integrating principles like accessibility, equity, and client autonomy can improve program performance and reduce rights infringements.
Area of Science:
- Public Health
- Health Policy
- Human Rights
Background:
- Development programs increasingly recognize the need to integrate human rights principles.
- Performance-based financing (PBF) is a strategy to improve health service equity and quality, with global support for family planning goals.
Purpose of the Study:
- To analyze the extent to which PBF implementation manuals for family planning services incorporate a rights-based approach.
- To identify gaps in the operationalization of human rights within PBF frameworks.
Main Methods:
- Content analysis of 23 PBF implementation manuals.
- Quantification of rights-based elements within the manuals' framing of family planning services.
Main Results:
- All reviewed manuals focus on quality and accountability but minimally address accessibility, informed choice, acceptability, nondiscrimination, and equity.
- Operational inclusion of client agency, autonomy, empowerment, and voluntarism is absent.
- PBF programs show some mention of rights but are not systematically aligned with a rights-based approach.
Conclusions:
- Current PBF programs require better integration of client-centered, rights-based principles to enhance performance and mitigate rights risks.
- Explicitly incorporating rights principles such as acceptability, accessibility, informed choice, and equity is crucial for improving health service delivery and system performance.
- Recommendations include making the rights-based approach explicit in PBF, operationalizing rights, developing rights-based metrics, and recognizing the economic value of rights alignment.