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Alignement of Performance-Based Financing in Health with Government Budget

Performance-based financing (PBF) is the transfer of funds to health facilities so they can provide a pre-agreed set of services according to appropriate standards of quality and administration. These initiatives have introduced a wide set of reforms, including in provider autonomy, access to financial services, flexibility on the utilization of funds, a performance orientation on […]
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If You Build It, They Will Come? Lessons on Barriers to Service Use at PBF Facilities in Nigeria

Results-based financing (RBF) has been used to great effect to improve the efficiency and quality of health facilities across the developing world. These improvements, however, do not always reach the most vulnerable and marginalized households; they continue to face a variety of barriers in accessing the services offered at RBF health facilities. This has been […]
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Further Realizing the Promise of Qualitative Research in Results-Based Financing

This Discussion Paper presents the approach, findings, and recommendations from a desk review of the qualitative research conducted within Results-Based Financing programmes (RBF) under the Health Results Innovations Trust Fund (HRITF). The review included 17 studies conducted in Benin, Burundi, Cameroon, DRC, Ethiopia, Haiti, Kenya, Kyrgyzstan, Nigeria, Rwanda, Tajikistan, Tanzania, Zambia, and Zimbabwe. The studies […]
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Impact Evaluation in Practice, Second Edition

The second edition of the Impact Evaluation in Practice handbook is a comprehensive and accessible introduction to impact evaluation for policy makers and development practitioners. First published in 2011, it has been used widely across the development and academic communities. The book incorporates real-world examples to present practical guidelines for designing and implementing impact evaluations. […]
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Completed Impact Evaluations and Emerging Lessons from the Health Results Innovation Trust Fund Learning Portfolio

Results Based Financing (RBF) is an approach that is increasingly being utilized in various countries across different settings and levels to facilitate improvements to health system functionality and priority health outcomes. Since 2008, the Health Results Innovation Trust Fund (HRITF) has invested US $420 million in HRITF linked to US $2.4 billion in financing from […]
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Cameroon: Midline Qualitative Study Findings Report

Within the context of the PBF pilot and impact evaluation, a midterm qualitative study was conducted. The PBF Cameroon midline qualitative study focused on two primary objectives:  (i) to capture experiences in the piloting of PBF at the central, regional and district level (perspectives of decision-makers, policymakers, and providers); and (ii) to capture experiential elements of health […]
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Results-Based Financing’s Impact on Human Resources for Health in Zambia

Results-based financing (RBF) has been implemented in low- and middle income countries with the aim of transforming health systems and achieving Millennium Development Goals 4 and 5. However, there is a dearth of empirical evidence on the impact of RBF-facility financing and provider incentives on performance related factors such as health workers  satisfaction, motivation, productivity, […]
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