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Results-Based Financing (RBF) in Health Facilities Presentation

Learn about Results-Based Financing in health facilities, paying for services based on quantity and quality. Discover how RBF works and its impact on improving healthcare quality. Presented by Gaston Sorgho, World Bank Sector Leader for Central Africa.

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Results-Based Financing (RBF) in Health Facilities Presentation

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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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