Using Evidence to Scale Up Innovation : Insights from a Results-Based Financing Project for Health in Zambia
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International Finance Corporation, Washington, DC
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Several developing countries face the challenge of attaining sufficient population level impact to meet health-related Millennium Development Goals (MDGs). This situation is partly attributable to constraints in their health systems, including: severe shortages in human resources for health; inequalities in service provision and utilization; limited financial resources; and inefficiencies in resource allocation and use. Even in countries with adequate financial resources, health indicators are sometimes poor due to inefficiencies and a lack of performance related initiatives. In an attempt to strengthen health systems and improve health-service delivery, several countries in Africa are increasingly using Results-Based Financing (RBF) approaches in their health programs. The premise is that linking financing to results will lead to improvements in health systems and health-outcome indicators. This paper captures emerging lessons from Zambia's drive to improve service delivery in the public-health sector with support from the World Bank's RBF initiative.
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AGED, ANTENATAL CARE, CHILD HEALTH, COMMUNITIES, COMMUNITY PARTICIPATION, DISEASES, DISTRICTS, EXERCISES, FEE-FOR-SERVICE, FINANCIAL RESOURCES, HEALTH CARE, HEALTH CARE DELIVERY, HEALTH CENTERS, HEALTH FACILITIES, HEALTH INDICATORS, HEALTH MANAGEMENT, HEALTH OUTCOMES, HEALTH PROGRAMS, HEALTH REFORMS, HEALTH RESULTS, HEALTH SECTOR, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH WORKERS, HEALTH-SECTOR, HEALTH-SYSTEM, HIV, HIV/AIDS, HOSPITALS, HUMAN RESOURCES, HUNGER, IMPACT EVALUATIONS, IMPROVEMENTS IN HEALTH, INFORMATION SYSTEM, INTEGRATION, INTERVENTION, MALARIA, MATERNAL AND CHILD HEALTH, MATERNAL HEALTH, MEDICAL SUPPLIES, MEDICINE, MEDICINES, MORTALITY, NATIONAL HEALTH, NUTRITION, PATIENT, POSTNATAL CARE, PREVENTIVE TREATMENT, PRIVATE SECTOR, PUBLIC HEALTH, PUBLIC SECTOR, QUALITY OF HEALTH, QUALITY OF HEALTH CARE, UNDER-FIVE MORTALITY, WORKERS