Results-Based Financing for Health

This background paper on RBF in Africa was part of the basis for discussion during the the Africa Health Forum 2013: Finance and Capacity for Results. The paper shares some of the operational results starting to come in from Health Results Innovation Trust Fund (HRITF) pilots.

Key messages:

  • Over the past five years, Results-Based Financing (RBF) for health has been extensively tested in Africa as a promising approach to work towards Universal Health Coverage.
  • RBF approaches are achieving good results; increasing coverage as well as quality of services while targeting resources to vulnerable populations.
  • A well-designed RBF program can strengthen core health system functions, increasing value for money and accountability of the health system.
  • In many countries the design of RBF programs has included removing user fees, thus improving financial access for essential health services.

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