Sexual and reproductive health

Performance-based grants for reproductive health in the Philippines

Policy brief

World Health Organization, Dept. of Reproductive Health and Research

Front page of policy brief

Publication details

Number of pages: 8
Publication date: 2011
Languages: English
WHO reference number: WHO/RHR/11.04 - Web only


Over the past decade, performance-based grants (PBGs) have emerged as a new set of interventions in which specific actions are requested, received and paid for. They reward results with payment, aiming principally to resolve issues of access, utilization and provider performance (Meesen et al., 2006; Canavan, Toonen & Elovainio 2008). Defined here as “the provision of incentives to improve predetermined performance actions or targets”, PBGs seek to change the behaviour − of individuals, of centres and clinics, and of the system itself (Jack, 2003; Eichler 2006; Meesen et al., 2006; Oxman & Fretheim, 2008).1

1The term performance-based grants (PBGs) will be used throughout this brief. In the literature, PBGs are also known as (though not necessarily synonymous with) results-based financing (RBF) (Oxman & Fretheim, 2008; Brenzel 2009) performance-based financing (PBFs) (Hecht et al., 2004; Canavan et al., 2008; Toonen et al., 2009), and pay-for-performance (P4P; PFP) (Eichler, 2006; Mathematica Inc.).