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When the Money Runs out: Do Cash Transfers Have Sustained Effects on Human Capital Accumulation?

This study examines the medium-term effects of a two-year cash transfer program targeted to adolescent girls and young women. Significant declines in HIV prevalence, teen pregnancy, and early marriage among recipients of unconditional cash transfers (UCTs) during the program evaporated quickly two years after the cessation of transfers. However, children born to UCT beneficiaries during […]
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The Gambia’s Community-Based RBF Scheme: Contracting Communities to Boost Demand

The Maternal and Child Nutrition and Health Results Project (MCNHRP) of The Gambia uses RBF to directly address challenges related to maternal and child nutrition and health, including sanitation and hygiene. The MCNHRP uniquely combines a supply-side performance-based financing (PBF) mechanism with a community-based RBF mechanism to foster stronger links between communities and health facilities. […]
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Community-Based Results-Based Financing in Health in Practice

This report discusses Community Results-Based Financing (cRBF), a ‘close to client’ approach whereby community actors are paid based on the activities they undertake. The focus is on six developing cRBF experiences that have started in Cameroon, The Gambia, Benin, the Democratic Republic of the Congo (DR Congo), Rwanda, and the Republic of Congo. The report’s […]
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Independent Verification in Results-Based Financing

With pressure for greater accountability and value for money in public budgets, widening the use of RBF and setting up adequate independent mechanisms to verify results is becoming increasingly important. In January 2012, the World Bank launched the Program-for-Results (PforR), an innovative financing instrument that disburses funds upon delivery of verified results in developing country […]
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Taking Stock of Monitoring and Evaluation Systems in the Health Sector: Findings From Rwanda and Uganda

In the context of sector-wide approaches and the considerable funding being put into the health sectors of low-income countries, the need to invest in well-functioning national health sector monitoring and evaluation (M&E) systems is widely acknowledged. Regardless of the approach adopted, an important first step in any strategy for capacity development is to diagnose the […]
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Financial Incentives and Measurement Improved Physicians' Quality of Care in The Philippines

The merits of using financial incentives to improve clinical quality have much appeal, yet few studies have rigorously assessed the potential benefits. The uncertainty surrounding assessments of quality can lead to poor policy decisions, possibly resulting in increased cost with little or no quality improvement, or missed opportunities to improve care. The authors conducted an […]
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