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Results – Based Financing (RBF) in Health

AFRICA - HNP. Results – Based Financing (RBF) in Health. Presentation by Gaston Sorgho, HD Sector Leader – Central Africa World Bank. Traditional Financing. Results Based Financing. Health Faciity. Inputs. Outputs. Activities. Paying for results: Taking quality into account.

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Results – Based Financing (RBF) in Health

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  1. AFRICA - HNP Results – Based Financing (RBF) in Health Presentation by Gaston Sorgho, HD Sector Leader – Central Africa World Bank

  2. Traditional Financing Results Based Financing Health Faciity Inputs Outputs Activities World Bank - AFR Health Nutrition Population

  3. Paying for results: Taking quality into account • Measuring the quantity of services produced by the health facility; • Quarterly measurement of the quality of services the facility delivers; Quantity * Unit price per service * Quality Index = Payment • Adjustment made for remoteness or other difficulty. World Bank - AFR Health Nutrition Population

  4. Example of Results Based Financing (RBF) in a Health Facility World Bank - AFR Health Nutrition Population

  5. Deciding on which services to include, i.e. , which are the priorities World Bank - AFR Health Nutrition Population

  6. Setting the unit price for each service is complicated but prices can be adjusted World Bank - AFR Health Nutrition Population

  7. Verifying that the claimed quantity of services were actually delivered requires care & a few approaches World Bank - AFR Health Nutrition Population

  8. Measuring quality of care is an important challenge World Bank - AFR Health Nutrition Population

  9. Example of a Quantitative Checklist to determine Quality of Care Score

  10. Remoteness bonus reflects the fact that some facilities will face bigger challenges in attracting patients World Bank - AFR Health Nutrition Population

  11. Example of Results Based Financing (RBF) in a Health Facility World Bank - AFR Health Nutrition Population

  12. Example of what can the facility do with the $1,080 • Health facility operation costs(about 40%): • Maintenance and repair • Consumables • Drugs • Outreach • Other elements related to improving quality • Performance bonus to health workers (about 60%) • criteria are defined World Bank - AFR Health Nutrition Population

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