Achieving Maternal and

Child Health with RBF:

The Results

Monique Vledder | Program Manager

The HRITF Portfolio

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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

Increased Coverage of Key Services: Zimbabwe

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ANC - Antenatal Care

PNC - Postnatal Care

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

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

Increased Equity: Burundi

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NOTE: Reduced quality score variation shows greater equity.

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.

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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