Verification of Performance in Results-Based Financing : The Case of Community and Demand-Side RBF in Rwanda
Rwanda, led by its Ministry of Health, was the first African country to implement Performance- Based Financing (PBF) nationwide in its health centers and hospitals. The country then went on to pilot RBF interventions at the community level. Rewardi...
| Main Authors: | , |
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| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2014
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2014/06/20324931/verification-performance-results-based-financing-rbf-case-community-demand-side-rbf-rwanda http://hdl.handle.net/10986/20791 |
| Summary: | Rwanda, led by its Ministry of Health,
was the first African country to implement Performance-
Based Financing (PBF) nationwide in its health centers and
hospitals. The country then went on to pilot RBF
interventions at the community level. Rewarding community
members who provide and use Maternal and Child Health (MCH)
services is an innovative form of Results-Based Financing
(RBF). The supply-side of this community PBF scheme focuses
on cooperatives of Community Health Workers (CHWs). It pays
them to provide selected MCH services and rewards them for
the quality of their reporting as well as for good
management. Conversely, the demand-side of this community
PBF scheme provides women with in-kind incentives when they
utilize three selected MCH services in health centers.
Verifying the performance of these interventions is an
integral part of RBF program implementation. This case study
aims to describe the verification mechanisms used in Rwanda,
which include monthly verification of the quantity of
services provided by the CHWs, quarterly assessment of the
quality of the functioning of the CHW cooperatives
(including its reporting), verification of the quantity of
in-kind incentives distributed in a less systematic way, as
well as counter-verification of these three verification
processes. This paper presents results of these verification
methods, and discusses the obstacles faced, the way they
were addressed, and the challenges that are still ahead.
This case study is part of a broader analysis, involving
multiple country case examples. It endeavors to expand
knowledge about verification processes and practices and to
address the design and implementation needs of RBF programs. |
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