Jeffrey W. Mecaskey

Jeffrey Mecaskey is Technical Lead for Economics and Financing and Co-Lead for Evidence and Learning at HPI with 35 years’ experience in international development with a focus on health and political economics, health policy and management. He was chair of the programme management board for the UK aid funded Improving Access to Health Care for the Poor, Northern Uganda (NU Health), and is currently a Senior Technical Expert on the EU-funded EU-Strengthening Immunisation Governance in Nigeria (EU-SIGN) and Maximising the Quality of Scaling Up Nutrition+ (MQSUN+) programme.

Results Based Financing II: No Systems, No Scale

If we want to scale up Results Based Financing, we need to understand the minimum levels of system functionality that are necessary to achieve Universal Health Coverage.     As described in the earlier instalment of this series, Results Based Financing has emerged as a key strategy to improve health sector performance whereby monetary incentives […]

Result Based Financing Part 1: From revolutionary to routine

Once considered “revolutionary innovation,” Results Based Financing in health is rapidly moving into “routine operations.” With hundreds of millions of dollars invested in establishing its “proof of principal,” questions remain about whether and when Results Based Financing is really better than more conventional input-based health financing. This is the first of a three-part blog series […]

Insights from a controlled trial on results based financing

There is a growing body of experience in a range of RBF-related programmes, but there remain key gaps in the evidence including how cost-effective programme approaches can be adapted to circumstances of fragility, poor governance and weak systems, where unmet need in reproductive, maternal, newborn and child health is often greatest. With the launch of […]