This technical brief explores performance-based grants implementation and offers insights on the use of pay-for-performance mechanisms at the NGO level in Bangladesh.
Despite significant achievements, remaining health systems weaknesses and inequitable use of quality health services persist in Bangladesh. To effectively serve its population of approximately 160 million and to fill gaps in the public health system, the government of Bangladesh has embraced a multisectoral health system—specifically through promoting the role of nongovernmental organizations in service delivery. Since the 1970s, Pathfinder has implemented various projects with Bangladeshi NGOs, building their capacity to deliver high-quality and equitable services.
In 2012, Pathfinder began implementation of the NGO Health Service Delivery Project—a five-year, USAID- and DFID-funded project that aims to strengthen NGO capacity to deliver high-quality family planning and reproductive, maternal, newborn, and child health services to the country’s poor and underserved populations. Complementary to capacity building activities, and to catalyze improved NGO performance, Pathfinder implemented performance-based grants.