Performance-Based Financing Conceptual Framework

To comprehensively assess what determines success and failure in RBF programs, specifically the ones using Performance-Based Financing (PBF), the Health Results Innovation Trust Fund has developed a conceptual framework that delineates what PBF brings about in terms of behavioural, organizational, and contextual changes. The framework is used to identify areas for learning about RBF, linkages between the design features of RBF programs and the individual and systemic responses to those programs, and consequently to apply the most appropriate methods in designing, monitoring, learning about, and evaluating RBF programs. Several RBF country teams are using the conceptual framework to pinpoint the learning area most relevant to their country context, using both quantitative and qualitative methods.