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I would like that you share with me your experience trying to either reduce or freeze (no raises) health worker salaries as part of the introduction or evolution of PBF. I am also interested in learning about examples of reducing or freezing hospital input based budgets and increasing the proportion of hospital budgets that are based on outputs. Can you share examples of countries where it has been possible to either freeze or reduce health worker salaries? or facility budgets? Can you share examples of countries where this was attempted but resistance from unions or other resistance blocked transition? Were there political challenges to be overcome such as resistance by unions? How did government leaders manage this process? What trade-offs and compromises were reached? What mistakes were made? What lessons can you share that may help other countries steer a transition to output based financing?
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