Pay for performance forstrengthening delivery of sexualand reproductive health services inlow- and middle-income countriesEvidence synthesis paper

Background This paper aims to bring together the global evidence on paying providers for performance (P4P), its impact on the delivery of sexual and reproductive health services, and the conditions under which it may have been effective. It is based on a literature review carried out in November-December 2011, with some updating in 2013. It synthesises evidence from policies and projects which have been documented and published to date. The sources include the few available published impact evaluations as well as the more extensive internal reports focussing on early implementation experiences. It focuses on supply-side measures, and complements a recent report on demand-side financing for SHR services in low and middle-income countries.