achieving maternal and child health with results-based financing (rbf): the results

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Achieving Maternal and Child Health with RBF: The Results Monique Vledder | Program Manager

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Presentation on the preliminary results coming in from the Health Results Innovation Trust Fund/World Bank pilot projects in Results-Based Financing (RBF) for Health

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Page 1: Achieving Maternal and Child Health with Results-Based Financing (RBF): The Results

Achieving Maternal and Child Health with RBF: The ResultsMonique Vledder | Program Manager

Page 2: Achieving Maternal and Child Health with Results-Based Financing (RBF): The Results

The HRITF Portfolio

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Page 3: Achieving Maternal and Child Health with Results-Based Financing (RBF): The Results

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).

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The Results

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Increased Coverage of Key Services: Zimbabwe

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ANC - Antenatal Care PNC - Postnatal Care

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Increased Coverage of Key Services: Burundi & DRC

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Increased Coverage of Key Services: Nigeria

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ANC - Antenatal Care PNC - Postnatal Care

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Improved Quality: Nigeria

NOTE: Overall quality scores in health centers and hospitals in Nigeria improved steadily over time.

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Improved Quality: Burundi

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Health System Impacts

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Improved Efficiency: Zimbabwe

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Increased Equity: Burundi

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NOTE: Reduced quality score variation shows greater equity.

Page 22: Achieving Maternal and Child Health with Results-Based Financing (RBF): The Results

Increased Accountability: Nigeria

“The need for solid evidence and results has increased for both governments and donor agencies.”

Dr. Muhammad Pate, Minister of Statefor Health, Federal Ministry of Health,Government of Nigeria, in an interviewwith the HRITF in March 2012.

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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.

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Thank You