The World Bank invited attendees of Women Deliver 2013 to join a conversation about using Results-Based Financing (RBF) approaches to improve access to health services and health outcomes for mothers, newborns and children in developing countries. The Health Results Innovation Trust Fund (HRITF) presented promising data that is starting to come in from its portfolio of RBF programs.

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

2. The HRITF Portfolio
1

3. 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).
32

4. 4 3

5. The Results

6. Increased Coverage of Key Services:
Zimbabwe
55
ANC - Antenatal Care
PNC - Postnatal Care

7. Increased Coverage of Key Services:
Burundi & DRC
66

8. Increased Coverage of Key Services:
Nigeria
77
ANC - Antenatal Care
PNC - Postnatal Care

9. Improved Quality: Nigeria
NOTE: Overall quality scores in health centers and hospitals in
Nigeria improved steadily over time.
88

10. Improved Quality: Burundi
99

11. Health System Impacts

12. 1111
Improved Efficiency: Zimbabwe

13. Increased Equity: Burundi
1212
NOTE: Reduced quality score variation shows greater equity.

14. 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.
1313

15. 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.
1414

16. Thank You