Examining the implementation of performance-based financing for primary healthcare in Kenya

Performance-based financing (PBF) is a way of financing health services where healthcare providers are given financial rewards if they achieve agreed targets. Kenya has introduced PBF in public health centres and dispensaries in 20 of its 47 counties. Understanding how PBF in Kenya operates in practice is an important research and policy question. 

I will answer questions about the differences between PBF design and how it operates in practice, and how this influences the achievement of the policy’s intended goals. I will also investigate any unintended effects and if the policy has improved the use of healthcare in the country.