Transforming Health Systems Through Results Based Financing Learning from Implementation & Impact Evaluations Dinesh Nair, Sr Health Specialist.

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Presentation transcript:

Transforming Health Systems Through Results Based Financing Learning from Implementation & Impact Evaluations Dinesh Nair, Sr Health Specialist

Making an impact around the world

An expanding RBF Portfolio 36 projects

Early Evidence of Impact

Rwanda: Increasing Coverage and Quality 5

Improving Efficiency in Zambia & Zimbabwe 6

Using Operational Data

Operational data informs operations and learning To monitor progress and assess RBF’s contributions to health system’s goals To monitor what money is spent on To identify areas for further inquiries and mid-course corrections To assess the effects of RBF approaches To facilitate cross-country learning and sharing of experience

The dashboards show real time performance and amount spent, down to the facility level.

Learning from Implementation

12

Evaluating RBF Programs

Growth of the IE portfolio 36 impact evaluations + 5 in pipeline 5 program assessments including 3 completed High increase in overall number = many at design stage Impact evaluations also progressing to final stage Endline surveys planned for 2014: Zambia, Zimbabwe

Diversity of Themes Intervention evaluatedCountries Supply-side RBF paymentsAfghanistan, Argentina, Armenia, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Democratic Republic of Congo, Djibouti, Ethiopia, Gambia, Haiti, Kenya, Kyrgyz Republic, Lao PDR, Lesotho, Liberia, Nigeria, Pakistan, Rwanda, Senegal, Sierra Leone, Tajikistan, Turkey, Yemen, Zambia, Zimbabwe Demand-side RBF paymentsGambia, Lao PDR, Nigeria, Pakistan, Rwanda, Senegal, Yemen, Zimbabwe Community-Based RBFGambia, Haiti, India, Senegal, Rwanda RBF for quality of careAfghanistan, Argentina, Benin, Brazil, Cambodia, Cameroon, Central African Republic, China, Haiti, Kyrgyz Republic, Lao PDR, Nigeria, Senegal, Tajikistan, Turkey, Zambia, Zimbabwe RBF in hospitalsAfghanistan, Argentina, Burundi, China, India, Kyrgyz Republic, Lao PDR, Liberia, Nigeria, Philippines, Senegal, Sierra Leone, Turkey Additional financingBenin, Nigeria, Zambia, Zimbabwe Differential incentive levelsCentral African Republic, China Enhanced monitoring and supervision Cameroon, Kyrgyz Republic RBF and training of providersZimbabwe Process vs. outputBrazil Negative Incentives (sanctions)Turkey 15

Innovations

Supply Chain

Quality of Care

Community & Demand Side RBF

Knowledge Sharing & Capacity Building

Scale Up

THANK YOU