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

2. Making an impact around the world

3. An expanding RBF Portfolio 36 projects

4. Early Evidence of Impact

5. Rwanda: Increasing Coverage and Quality 5

6. Improving Efficiency in Zambia & Zimbabwe 6

8. Using Operational Data

9. 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

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

11. Learning from Implementation

12. 12

13. Evaluating RBF Programs

14. 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

15. 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

16. Innovations

17. Supply Chain

18. Quality of Care

19. Community & Demand Side RBF

20. Knowledge Sharing & Capacity Building

21. Scale Up

22. THANK YOU