DOI: https://doi.org/10.36347/sasjm.2025.v11i05.025

Pages: 526-529

This paper explores the effects of using special quality improvement bonuses (Special Quality Improvement Bonuses) as a strategy to address health inequalities and accelerate universal health coverage under a results-based financing model. The authors present a case study of a health facility located in a vulnerable and insecure area that received such a bonus, highlighting the positive impact on infrastructure, equipment, staffing and service delivery. The study highlights the effectiveness of these bonuses in improving the quality of health services and bringing quality care closer to vulnerable populations. Specifically, these incentives allowed health facilities to upgrade their technical staff, enabling them to implement the minimum package of activities. In addition, these bonuses were awarded based on quality scores and aimed at correcting inequities between competing health facilities, thereby further improving the staffing and service delivery capacities of these facilities.