Towards constructive rethinking of PBF: perspectives of implementers in sub-Saharan Africa

### Summary box Performance Based Financing (PBF) is a health systems reform approach with an orientation on results defined in terms of the quantity and quality of services. PBF has rapidly gained popularity in many low/middle-income countries (LMIC), in Africa especially, as a strategy towards better health outcomes, strengthened health systems and progress towards Universal Health Coverage (UHC). The World Bank’s Performance Based Financing Toolkit reports that in 2015 there were 34 PBF schemes, at either pilot or national level, …