Results-based financing sharpens the focus of development financing on critical elements: measuring and demonstrating results and improving service delivery.
- So it is with results-based financing for health (RBF), a concept designed to help people in poor countries live healthier lives by linking incentives with results. RBF is being supported by the World Bank through the Health Results Innovation Trust Fund, which is financing the implementation and evaluation of six RBF pilot programs in Africa.
- One such solution, results-based financing (RBF), leverages existing or new financial resources to incentivize results by paying for desired outcomes or outputs. RBF approaches are diverse and have emerged in different contexts and with different partners.
- Results-based funding refers to development assistance that is provided in response to verified results (for example, households provided with a working electricity connection), rather than providing funding.
- Results-based financing (RBF) is a mechanism that links financing to pre-determined results, with payment made upon verification that the results have been delivered. When well designed, RBFs can.
- 2 million more children having their growth monitored each year /
- Over 900 health facilities trained in data management /
- 130,000 more women receiving antenatal care services per year /
Improving health outcomes using results-based financing (RBF)
Crown Agents is implementing the RBF programme, in partnership with the Ministry of Health and Child Care (MoHCC), in 42 rural districts in Zimbabwe since 2014. The programme is supported by the Health Transition Fund and now the Health Development Fund (HDF), covering 830 rural health facilities with an estimated total catchment area population of 6.6 million. Supported by the World Bank, Cordaid is implementing in 18 districts to ensure the whole country is covered.
Our approach:
- Contracting not-for-profit health facilities, provincial and district health executives and community-based organisations to deliver specified services
- Verifying the delivery of these services, including quantitative and qualitative checks
- Paying out against the contracts
- Building the capacity of the Ministry of Health and Child Care (MoHCC) in RBF operations at all levels
- Ongoing evaluation of the RBF model, including identification of possible improvements
Crown Agents has been awarded the 5-year contract from 2016-2020 to continue implementing RBF under the Health Development Fund.
Read more in our June 2018 report below.
BlogHealth / Fund Management / Programme Design, Delivery and Evaluation
ProjectHealth / Fund Management / Programme Design, Delivery and Evaluation
Training courseResults-based financing includes a range of financing mechanisms where financing is linked and provided after the delivery of pre-agreed and verified results. RBF approaches can play a big role in the delivery of infrastructure and services.
It’s supplying 500,000 solar home systems to promote renewable energies and access to electricity in Bangladesh.
GPRBA is a global partnership program in the World Bank Group
Results Based Financing Framework
Through a diverse portfolio of projects, GPRBA funds, designs, demonstrates and documents results-based financing approaches (RBF) to improve the delivery of basic services in developing countries. Large development projects too often fail to include the very poor, and GPRBA is dedicated to making sure the poor and marginalized have access to electricity, water, sanitation, health care, education and other basic services necessary for growth and opportunity.