Output-based Aid - Examples of Projects

Examples of Projects

In healthcare, OBA is often implemented by contracting providers in either the public or private sector, sometimes both, and issuing vouchers to people considered at higher risk of disease or in greater need of the health services. Two of the earliest examples of competitive vouchers and fee-for-service contracts in healthcare were implemented in South Korea and Taiwan in the 1960s. In Nicaragua, the Instituto CentroAmericano de la Salud (Central American Health Institute) began voucher programs for reproductive and sexual health services in 1995. New programs for facility-based maternal deliveries in Kenya and Uganda began in 2006 and 2009 respectively.

In Mongolia, and other regions, projects to improve telecommunications in rural areas have been undertaken. Existing communication operators bid for subsidy contracts to expand their networks and services to rural areas that had little access to telecommunications. The bidding operators were also aware of the risk associated with the subsidies, since they would only receive funding one certain outcomes had been met. These OBA schemes are meant to provide universal access to the internet and to communications to those who cannot afford them or cannot easily access them.

Output-based aid have had successes and failures based on the specific project. Many challenges have come to exist as a result of the diverse projects that have been carried out.

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