Publications

Results-based financing (RBF) is becoming more and more popular in low- and middle-income countries. After being successfully implemented in Rwanda, many  health sector representatives from these countries were interested in introducing the concept in their country, after visiting Rwanda. The concept looks attractive, because it seems obvious that paying health service providers only after delivering predefined and verified results should lead to more results. But back in their country, it proves difficult to implement the concept in their own context. Copying and pasting the Rwandan model to their local context proves not to be the “magic bullet” they thought it would be for their country. Now what to do? This booklet shows you how to get started once you have decided to implement RBF. It is an attempt to support countries or districts that are interested to craft their own RBF. It does so by starting from the generic principles of RBF, then proposing eight process steps to arrive at an approach that responds to your national context. Each of these steps comes with the necessary tools and instruments...