Webinar – Performance-based financing in fragile and conflict-affected settings: from research to practice


Performance-based financing (PBF) has been increasingly implemented in low and middle income countries, becoming a significant feature of the health financing landscape, including fragile and conflict-affected states (FCAS). While research and evidence on PBF has grown, there remain some very significant gaps in our understanding of it. The ReBUILD research programme, which has been delivering research on health system reconstruction post-conflict and in wider FCAS settings since 2011, has been examining PBF in FCAS settings to draw out lessons for policy makers and funders.

This webinar featured a brief presentation of the studies, followed by reflections from practitioners from NGOs, implementation agencies and international organisations on the implications of the research on PBF for their practice.

The aim was to actively involve panelists and audience to reflect together on the relevance of the findings, on their resonance in the day-to-day work of those in the field, and on whether how future research can be helpful to improve policy and practice on PBF.

Watch the recording here (you will need to register)

The session featured:

  • Introduction to ReBUILD, PBF research and fragile and conflict-affected settingsSophie Witter (ReBUILD & Institute for Global Health & Development (IGHD), Queen Margaret University, UK)

  • The political economy of PBF in fragile settingsMaria Bertone (ReBUILD & IGHD, QMU) & Noemi Schramm (CHAI, Sierra Leone)

  • PBF in humanitarian settings: principles and pragmatism Eelco Jacobs (KIT) & Piet Vroeg (Independent Consultant)

  • Does PBF strengthen strategic purchasing? The experience of Uganda, Zimbabwe and the DRCFreddie Ssengooba (ReBUILD & Makerere University) & Inke Mathauer (WHO)

  • Discussion – chaired by Sophie Witter

The webinar was facilitated by Health Systems Global.