The World of Initiatives - RBF Homepage RBF Health举措——世界的RBF RBF健康主页.pptVIP

The World of Initiatives - RBF Homepage RBF Health举措——世界的RBF RBF健康主页.ppt

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The World of Initiatives - RBF Homepage RBF Health举措——世界的RBF RBF健康主页

Stocktaking of Results-Based Financing (RBF) Experiences in the World Bank Logan Brenzel, HDNHE July 8, 2009 Questions to be Addressed by the Stocktaking Review What policy or health system issues were RBF mechanisms trying to address in countries? What is the scale, scope and types of RBF mechanisms that have been supported by the World Bank across regions? Who are the beneficiaries of RBF mechanisms and to what extent are the needs of the poor being addressed? What type of lending instruments has been used and what is the level of World Bank lending for RBF? What were some of the design features of the RBF mechanisms? What has been the experience with monitoring and evaluating RBF mechanisms? What results have been achieved in these projects? What have been the challenges in the design and implementation of RBF mechanisms? What are the lessons learned from the review of projects, and what are the prospects for sustainability? What are some recommendations for the way forward for the World Bank on RBF? Methods Review of the portfolio (Board approval FY1995-2008) Health sector performance as the primary theme (code 67) Review of 260 active and closed projects Project portal source of information Desk review of PIDs, PADs, ICRs, other documents Some follow-up with TTLs Quick review to triage the total sample More detailed review of projects and data entry into spreadsheets for comparison using Table 1 to categorize RBF activities Limitations: Project documents are intentions and review is limited to what is in those documents ICRs reflect others’ opinions and estimates of results Reviewed similar documents across projects but did not drill down into details of individual projects Health Systems Performance theme will not capture all activities in this area (conservative estimates) Definition of RBF for Health Used in the Review RBF for health is a cash payment or non-monetary transfer made to a national or sub-national government, manager, provider

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