Facility assessment report: Introducing pay-for-performance (P4P) approach to increase utilization of maternal, newborn, and child health services in Bangladesh

Under the leadership of the Directorate General of Health Services, the Population Council in collaboration with James P. Grant School of Public Health, BRAC University and with support from UNICEF is testing an innovative service delivery model to provide financial incentives to institutions to enhance their performance on maternal, newborn, and child health (MNCH) services in three districts of Bangladesh as part of GOB-UNICEF’s ongoing MNCH/MNH projects. A comparative analysis on the availability and condition of physical and human assets across 16 health facilities will inform what is needed in a facility in terms of inputs and processes. This report presents the key findings of the rapid assessment of 16 government health facilities conducted in the preparatory phase of the P4P project. A comprehensive assessment will be followed before incentive-related intervention activities can be initiated. This facilities assessment report indicates that no facilities are in perfect condition to provide quality MNCH services because all are burdened with problems related to human resource, physical infrastructure, equipment, logistics and supplies, and medicine. Before initiating the performance-based incentives, the lack in physical and human assets must be addressed