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Achieving Maternal and Child Health with RBF: The Results 2013


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The World Bank invited attendees of Women Deliver 2013 to join a conversation about using Results-Based Financing (RBF) approaches to improve access to health services and health outcomes for mothers, newborns and children in developing countries. The Health Results Innovation Trust Fund (HRITF) presented promising data that is starting to come in from its portfolio of RBF programs.

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Achieving Maternal and Child Health with RBF: The Results 2013

  1. 1. Achieving Maternal and Child Health with RBF: The Results Monique Vledder | Program Manager
  2. 2. The HRITF Portfolio 1
  3. 3. Definition of RBF Results-Based Financing (RBF) is a cash payment or nonmonetary transfer made to a national or sub-national government, manager, provider, payer or consumer of health services after predefined results have been attained and verified. RBF is an umbrella term that encompasses various types of interventions that target beneficiaries (for example, conditional cash transfers), providers (for example, performance-based financing), and country governments (for example, cash on delivery). 32
  4. 4. 4 3
  5. 5. The Results
  6. 6. Increased Coverage of Key Services: Zimbabwe 55 ANC - Antenatal Care PNC - Postnatal Care
  7. 7. Increased Coverage of Key Services: Burundi & DRC 66
  8. 8. Increased Coverage of Key Services: Nigeria 77 ANC - Antenatal Care PNC - Postnatal Care
  9. 9. Improved Quality: Nigeria NOTE: Overall quality scores in health centers and hospitals in Nigeria improved steadily over time. 88
  10. 10. Improved Quality: Burundi 99
  11. 11. Health System Impacts
  12. 12. 1111 Improved Efficiency: Zimbabwe
  13. 13. Increased Equity: Burundi 1212 NOTE: Reduced quality score variation shows greater equity.
  14. 14. Increased Accountability: Nigeria “The need for solid evidence and results has increased for both governments and donor agencies.” Dr. Muhammad Pate, Minister of State for Health, Federal Ministry of Health, Government of Nigeria, in an interview with the HRITF in March 2012. 1313
  15. 15. Beneficiary Perspective “Not many children are dying anymore, I would like to thank RBF.” Teclar Gohori , a beneficiary of an RBF program now covering 387 facilities in Zimbabwe – mainly rural clinics – in 18 health districts. 1414
  16. 16. Thank You