{"id":4576,"date":"2023-03-29T11:01:58","date_gmt":"2023-03-29T09:01:58","guid":{"rendered":"https:\/\/www.jphres.org\/?p=4576"},"modified":"2023-04-02T13:58:06","modified_gmt":"2023-04-02T11:58:06","slug":"what-makes-health-demand-side-financing-schemes-work-in-low-and-middle-income-countries-a-realist-review","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/article\/view\/304\/","title":{"rendered":"What makes health demand-side financing schemes work in low- and middle-income countries? A realist review"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2014.304\">https:\/\/doi.org\/10.4081\/jphr.2014.304<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Saji S. Gopalan<\/strong><br \/>\nPublic Health and Policy, London School of Hygiene and Tropical Medicine, United Kingdom.<\/span><\/li>\n<li><span class=\"name\"><strong>Ashis Das<\/strong><br \/>\n<\/span><span class=\"affiliation\">Health Nutrition and Population Unit, The World Bank, Washington, DC, United States.<\/span><\/li>\n<li><span class=\"name\"><strong>Ronald Mutasa<\/strong><br \/>\n<\/span><span class=\"affiliation\">Health Nutrition and Population Unit, The World Bank, Washington, DC, United States.<\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p>This realist review explored causal pathways of the possible consumer effects of health sector demand-side financial (DSF) incentives, their contextual factors and mechanisms in low-and-middle-income countries. We searched six electronic data bases and identified 659 abstracts with different evaluation designs. Based on methodological rigor and content relevance, only 24 studies published up to April 2013 were selected for the final review. A conceptual framework consisting of various program theories on potential context-mechanism-outcome (C-M-O) configuration of DSF initiative was designed, tested and adapted during the review. Synthesized results were presented as a C-M-O configuration for each of the consumer-side effect. DSF was effective to improve health seeking behaviour considerably and health status to some extent. The causal pathway of DSF\u2019s functioning and effectiveness was not linear. Key demand-side contextual factors which affected DSF\u2019s consumer-side effects were background characteristics of the beneficiaries including their socio-cultural beliefs, motivations, and level of health awareness. At the supply-side, service availability status and provider incentives were contextual determinants. The mechanisms which enabled the interaction of contextual influence were consumer and provider accountability and consumer trust on providers. In order to enhance DSF programs\u2019 effectiveness, their design and implementation should carefully consider the potential contextual elements that may influence the causal pathways.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2014.304 Saji S. Gopalan Public Health and Policy, London School of Hygiene and Tropical Medicine, United Kingdom. Ashis Das Health Nutrition and Population Unit, The World Bank, Washington, DC, United States. Ronald Mutasa Health Nutrition and Population Unit, The World Bank, Washington, DC, United States. ABSTRACT This realist review explored causal pathways of the possible &#8230; <a title=\"What makes health demand-side financing schemes work in low- and middle-income countries? A realist review\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/article\/view\/304\/\" aria-label=\"More on What makes health demand-side financing schemes work in low- and middle-income countries? A realist review\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-4576","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What makes health demand-side financing schemes work in low- and middle-income countries? A realist review - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/article\/view\/304\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What makes health demand-side financing schemes work in low- and middle-income countries? A realist review - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2014.304 Saji S. Gopalan Public Health and Policy, London School of Hygiene and Tropical Medicine, United Kingdom. Ashis Das Health Nutrition and Population Unit, The World Bank, Washington, DC, United States. Ronald Mutasa Health Nutrition and Population Unit, The World Bank, Washington, DC, United States. ABSTRACT This realist review explored causal pathways of the possible ... Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.jphres.us.com\/article\/view\/304\/\" \/>\n<meta property=\"og:site_name\" content=\"Journal of Public Health Research\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-02T11:58:06+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.jphres.us.com\/article\/view\/304\/\",\"url\":\"https:\/\/www.jphres.us.com\/article\/view\/304\/\",\"name\":\"What makes health demand-side financing schemes work in low- and middle-income countries? 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