The tool has key differences with existing resultsbased mechanisms, funders say. Mar 05, 2015 results based financing delivers innovative municipal solid waste management solutions pt. Learn how the results based financing mechanism can improve health outcomes by emphasizing performance. An overview of research on the effects of resultsbased financing. The global partnership on outputbased aid gpoba is a world bankadministered program whose focus is on one particular form of resultsbased financing, outputbased aid oba. Budgeting rbb demandside with a supplyside component focus on provider and client vouchers and health equity funds hef demandside with no supplyside component focus on client conditional cash transfers cct 2 3. Pdf on mar 16, 2017, zubin cyrus shroff and others published taking results based financing from scheme to system find, read and cite all the research you need on researchgate. The spirit of the collaboration allowed to tap our field practice. Is the resultsbased funding provided up front to the recipient with results verified at project completion, or is the implementer reimbursed after results are verified either in tranches or all at the end.
It is currently funded by the governments of norway, the united states of america and germany. As demand for and interest in results based financing rbf grows, the world bank group wbg supports a results first approach as the optimal way to implement rbf. Results based financing is used as an incentive to improve the quality of education in public schools in tanzania. The hritf was founded in part conditional on the creation of an interagency working group iwg on results based financing that met twice a year. Resultsbased financing or rbf is one term used among several which all describe similar concepts others include performancebased financing pbf, payment by results, payment for performance p4p, performance based aid, and output based aid.
Rbf was pioneered in the health sector, but is increasingly being considered as a means for financing. New resultsbased financing tool targets clean water for. The resultsbased financing community of practice is the knowledge hub for sharing, peer learning and collaboration with rbf practitioners both within and outside the wbg. Results based financing an approach to development financing based on payments made after results are delivered and independently verified. This is a joint post with amanda glassman yesterday the world bank and the global fund announced a stronger partnership for health centered around an innovative aid mechanism, resultsbased financing rbf. This project also addresses the post2015 high level panels recommendation on a development goal entitled secure sustainable energy, which includes energy access and renewable energythe resultsbased financing for low carbon energy access programme aims to accelerate access to sustainable energy services in developing countries. Resultsbased financing delivers innovative municipal solid waste management solutions pt. In this regard, the banks regional member countries rmcs are increasingly seeking financing and expertise from. Paying health facilities incentives based on their performance is one form of results based financing rbf. In 20, it introduced a resultsbased lending modality in which 46% of funding is. Results first means identifying the desired results and then working backwards to achieve them. Rbf offers incentive payments, on the basis of results achieved, to businesses which deliver prespecified outputs within the lowcarbon offgrid energy sector eligibility to apply or. Cif in partnership with queen margaret university uk, london school of hygiene and tropical medicine uk and antwerp institute of tropical medicine belgium is implementing a study designing and evaluating provider resultsbased financing for tuberculosis care in georgia.
Verification in resultsbased financing for health summary of findings and recommendations from a crosscase analysis. Progress has been made in improving availability of healthcare to vulnerable groups however the mortality rates are not decreasing. Rbf is an umbrella term that includes outputbased aid, provider payment incentives, performancebased interfiscal. Results based financing rbf refers to a range of mechanisms designed to enhance the performance of aid through incentive based payments. In organizations introducing results based financing. However, it is unclear whether pbf provides good value for money compared to status quo or other interventions. Financing results to strengthen systems results in education for all children reach education global practice world bank 1818 h street, nw washington dc, 20433 usa. The independent evaluation group evaluates the work of the world bank group to find what works, what doesnt, and why. Payments are made against prespecified results achieved in delivery and sustainable operation of modern energy technologies and or services.
Identifying the potential for resultsbased financing for sanitation sophie tremolet november 2011 the water and sanitation program is a multidonor partnership administered by the world bank to support poor people in obtaining affordable, safe, and sustainable access to water and sanitation services. Learn how the resultsbased financing mechanism can improve health outcomes by emphasizing performance. Results based financing engaging communities to strengthen systems in fragile contexts. Exploring the potential for using resultsbased financing. Results based financing in the energy sector an analytical guide this report identifies the circumstances when results based financing rbf approaches might be an appropriate energy sector intervention in developing countries, especially to promote energy access and energy efficiency. Rbf is an umbrella term that includes output based aid, provider payment incentives, performance based interfiscal. We have since played a catalytic role in the expansion of rbf in health, which is now being used in more than 20 countries on the african continent. Results based financing rbf also known as performance based financing pbf or payment for performance p4p involves the payment of financial rewards to health facilities or health workers based on their achievement of performance targets. The updated 2018 version of the lessons learnt report results based financing for energy access. Results based financing rbf, or performancebased financing pbf, is a resultsfocused approach for incentivizing health service providers to focus on performance, quality, staff retention, health outputs and outcomes. Does performancebased financing increase value for money in. Resultsbased financing rbf refers to a range of mechanisms designed to enhance the performance of aid through incentivebased payments.
Paying health facilities incentives based on their performance is one form of resultsbased financing rbf. Number of interprofessions with business plans approved and intrabranch agreements adopted to ensure sustainability 10 mil 5% 0 1 5 mil 2 5 mil dli 2. Results based financing in education cordaid international. Resultsbased financing rbf refers to a broad family of. This partnership is precisely what our cgd report more health for the money recommended see the chapter on designing contracts. Results based financing health partners international. Results based financing for healthcare in zimbabwe crown. Ieg evaluations provide an objective assessment of world bank group results, and identify lessons learned from experience. Resultsbased lending rbl is a performancebased form of financing, where disbursements are linked to the achievement of results rather than to upfront expenditures, as is the case with traditional investment lending. Resultsbased financing1 rbf is a financing approach increasingly employed to support development objectives and domestic policy goals.
Resultsbased financing captures the essence of how the wbg is implementing its education strategy learning for all. Six countries are in the advanced planning stage and rbf initiatives are being discussed in 9 countries. The application of resultsbased financing for urban. Verification of the performance of the providers is a. Increasing the coverage of skilled attendance at births in a health facility facility delivery is crucial for saving the lives of mothers and achieving millennium development goal five.
There are currently 3 countries1 with nationwide programs and 14 countries2 with ongoing pilots. The world bank experience with results based financing the future cap. Petra vergeera anna heardb erik josephsonc lisa fleisherd. The results based financing community of practice is the knowledge hub for sharing, peer learning and collaboration with rbf practitioners both within and outside the wbg. Verification of the performance of the providers is a vital part of rbf program implementation. A collaboration led by yunus social business is piloting an innovative financing tool to bring clean water to 1. This webinar introduced the concept of resultsbased financing, and explained how different instruments work and how they might be used with a focus on performancebased contracts and impact bonds. Analyzing the potential for resultsbased financing in. Ideally, results based funding should strengthen ownership and provide incentives to perform. The strategy emphasizes learning rather than just schooling, since that is what leads to economic growth, development, and poverty reduction. Sharpening incentives to perform, dfid klingebiel s.
Results based financing for low carbon energy access. This series will focus on resultsbased financing rbf, in particular, which has emerged as an important tool for financing basic services because it changes the focus from inputs funding. Resultbased financing rbf captures the essence of how the world bank group wbg is implementing its education strategy, learning for all. Endev pilots a resultsbased financing rbf scheme offering incentive payments to private sector market actors in the lowcarbon offgrid energy sector in developing countries. A grant helped the national institute of open schooling in india, which. Norway is the lead promoter of results based financing rbf as one of five actions being taken as part of the global campaign for the health millennium development goals and plans to. Results based financing1 rbf is a financing approach increasingly employed to support development objectives and domestic policy goals. An overview of research on the effects of results based financing. Apr, 2018 the tool has key differences with existing results based mechanisms, funders say. Results based financing at the world bank burundis national performance based financing pbf program project name. Resultsbased financing approaches observations for pay for success from international experiences.
Many experts see the introduction of results based financing rbf schemes as an opportunity to strengthen, or even reform, health systems. This is in contrast to traditional aid approaches that primarily focus on inputs. Piloting a resultsbased financing for programs modality policy. Lessons from the field is available for download here. The world bank experience with results based financing.
Nasjonalt kunnskapssenter for helsetjenesten, 2008. Performance based financing pbf approaches have expanded rapidly in lowerand middle income countries, and especially in africa. Identifying the potential for resultsbased financing for. Pdf an overview of research on the effects of results. This webinar series introduces innovative financing mechanisms that contribute to development solutions, linking needs, objectives and actual results. Norway is the lead promoter of resultsbased financing rbf as one of five actions being taken as part of the global campaign for the health millennium development goals and plans to. Pdf verification of performance in resultsbased financing. The defining element of rbf is that payments are made upon the delivery of predefined, verified results. Does performancebased financing increase value for money.
In order to enhance institutional effectiveness, value for money vfm and innovative financing, necessary to achieve this. Results based financing programme on maternal and child health care and evaluate the challenges that are being faced in implementing results based financing. Pdf taking results based financing from scheme to system. Boosting facility deliveries with resultsbased financing. Resultsbased financing in the energy sector an analytical guide this report identifies the circumstances when resultsbased financing rbf approaches might be an appropriate energy sector intervention in developing countries, especially to promote energy access and energy efficiency. Mechanism description examples beneficiaries scalability. Rbf helps to achieve increased quantity more children in school and higher quality improved learning outcomes and relevance. The introduction of a nationwide government implemented and funded results. The rise of resultsbased financing in education world bank group. Norway is the lead promoter of resultsbased financing rbf as. Table 1 resultsbased financing approaches and key characteristics example investor type. Rbf mechanisms have been applied to infectious diseases and maternal and child health, but very few have specifically focused on ncds.
Improving health outcomes using resultsbased 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. This again raises the question of shifting the priority to productivity rates which may compromise improving quality of healthcare delivery. Health, nutrition and population, health financing, fiscal sustainability for health, health financing and sustainability, health services delivery, public sector management, public finance. In low income settings, the introduction of such schemes often coincides with broader system. The brochure driving markets to scale gathers the lessons endev has learnt during the implementation of rbf projects in 14 countries. Rbf is defined as any programme where the principal sets financial or other incentives for an agent to deliver predefined outputs or outcomes and rewards the achievement of these results upon verification musgrove 2010. Results based financing rbf, or performance based financing pbf, is a results focused approach for incentivizing health service providers to focus on performance, quality, staff retention, health outputs and outcomes. The community fosters open discussion and collaboration. Resultsbased financing in education learning from what works. Financing for piloting rbf for ncds in sl and dom pilot in saint lucia and dominica phase 1. Resultsbased financing or rbf is one term used among several which all describe similar concepts others include performancebased financing pbf, payment by results, payment for performance p4p, performance based aid. Resultbased financing for low carbon energy access rbf.
Governments of low and middleincome countries lmics are widely implementing performance based financing pbf to improve healthcare services. Cambodia has significantly increased the coverage of facility deliveries and reduced the maternal mortality ratio in the last decade. In this regard, the banks regional member countries rmcs are increasingly seeking financing and. An overview of research on the effects of resultsbased. Transparency and accountability in resources allocation relative freedom to deside how to achieve the results focus on data gathering and verification. Resultsbased financing in skills development youtube.
Second, the strategy calls for investing for all so as to ensure the equity. Results based financing rbf 1 performance based contracting pbc performance based financing pbf results based. Linking financing to dlis total financing allocated to dli as % of total financing amount dli baseline 2017 year 1 2018 year 2 2019 year 3 2020 year 4 2021 year 5 2022 dli 1. Pdf on aug 1, 2015, cheryl cashin and others published verification of performance in resultsbased financing. The bank has adopted a new development and business delivery model dbdm, which seeks to fast track the delivery of results and impact for africas transformation.
Rbf can help improve both supply and demand side performance of health systems striving for universal health coverage. Social, urban, rural and resilience at the world bank group 5 views 8. The iwg was first cochaired by levine and amie batson, member of the cgd working group and then at the world bank and later usaid deputy assistant administrator see here and here. Results based financing of maternal and neonatal health care in low and lowermiddleincome countries. Resultsbased financing rbf is an instrument that links financing to predetermined results, with payment made only upon verification that the agreedupon results have actually been delivered. Dec 19, 2017 this webinar introduced the concept of results based financing, and explained how different instruments work and how they might be used with a focus on performance based contracts and impact bonds. Burundis national performance based financing pbf program project id.
It also serves as a foundation for improving public accountability for providerfacility performance and, increasingly a. A number of resultsbased financing schemes have been tested in the education sector, ranging from cashondelivery aid, development impact bonds, conditional cash transfers, to name a few. Resultsbased financing has expanded rapidly in africa. A collaboration led by yunus social business is piloting an innovative financing tool to bring clean water to. The number of countries has grown from three in 2006 to 32 in 20.
A new instrument for changing needs pforr financing results proof of specific. Cordaid is investing in the implementation of results based financing rbf to improve education systems. Governments of low and middleincome countries lmics are widely implementing performancebased financing pbf to improve healthcare services. New aid approaches, limitations and the application to. Cordaid has longstanding experience in how to create sustainable development through rbf as we were the first organization to introduce rbf in the health domain.
Identifying the potential for resultsbased financing for sanitation. Pfs5 is an innovative financing mechanism that shifts risk for a new but evidencebased social program from a traditional funder usually a government to a thirdparty investor usually a private organization or nonprofit. Result based financing rbf captures the essence of how the world bank group wbg is implementing its education strategy, learning for all. Performancebased financing pbf approaches have expanded rapidly in lowerand middle income countries, and especially in africa. As weve argued, rbf represents a paradigm shift in aid. Rbf has been used most extensively in the area of health systems. Pbf schemes are flourishing and cause considerable demand for technical assistance in executing these health reforms in a rational and accountable. Resultsbased financing in the energy sector an analytical. Norwegian knowledge centre for the health services summarizes and disseminates evidence concerning the effect of treatments, methods, and interventions in health services, in addition to monitoring health.
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