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...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2014
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| 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 |
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okr-10986-207912021-04-23T14:03:59Z Verification of Performance in Results-Based Financing : The Case of Community and Demand-Side RBF in Rwanda Renaud, Adrien Semasaka, Jean-Paul ADMINISTRATIVE COSTS ADMINISTRATIVE SYSTEM ANTENATAL CARE BUSINESS PLAN CAPACITY BUILDING CHILD HEALTH COMMUNITIES COMMUNITY ACTIVITIES COMMUNITY HEALTH COMMUNITY HEALTH SERVICES CONTRACEPTIVES COOPERATIVES COUNSELING DEATHS DECENTRALIZATION DESCRIPTION DISTRICTS E-MAIL ENVIRONMENTAL HEALTH FAMILY PLANNING FINANCIAL RESOURCES FRAUD HEALTH CARE HEALTH CARE PROVIDER HEALTH CENTERS HEALTH EXPENDITURE HEALTH FACILITIES HEALTH INDICATORS HEALTH MANAGEMENT HEALTH POLICY HEALTH PROMOTION HEALTH RESULTS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPECIALIST HEALTH STRATEGY HEALTH SYSTEM HOSPITALS HOUSEHOLDS HUMAN DEVELOPMENT HUMAN RESOURCES IDENTIFICATION NUMBERS IMAGE INCOME INFORMATION SYSTEM INHABITANTS INNOVATION INTEGRATION INTERVENTION INTERVENTIONS LIFE EXPECTANCY MATERIAL MORTALITY NGOS NONGOVERNMENTAL ORGANIZATIONS NUTRITION NUTRITIONAL STATUS ONLINE DATABASE PATIENT PATIENTS PAYMENT SYSTEM PERFORMANCES PERSONAL HYGIENE PHYSICAL PRESENCE POSTNATAL CARE PREGNANCY PREGNANT WOMEN PUBLIC HEALTH QUALITY OF HEALTH REGISTRIES REGISTRY RELIABILITY RESULT RESULTS STANDARD FORMAT SUPERVISION TARGETS TECHNICAL ASSISTANCE TELEPHONE TRANSMISSION TUBERCULOSIS UNDER-FIVE MORTALITY USER USERS USES VERIFICATION VERIFICATIONS VILLAGE LEVEL VILLAGES WEB WORKERS 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. 2014-12-18T17:22:00Z 2014-12-18T17:22:00Z 2014-06 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 English en_US HNP discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research Africa Rwanda |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ADMINISTRATIVE COSTS ADMINISTRATIVE SYSTEM ANTENATAL CARE BUSINESS PLAN CAPACITY BUILDING CHILD HEALTH COMMUNITIES COMMUNITY ACTIVITIES COMMUNITY HEALTH COMMUNITY HEALTH SERVICES CONTRACEPTIVES COOPERATIVES COUNSELING DEATHS DECENTRALIZATION DESCRIPTION DISTRICTS ENVIRONMENTAL HEALTH FAMILY PLANNING FINANCIAL RESOURCES FRAUD HEALTH CARE HEALTH CARE PROVIDER HEALTH CENTERS HEALTH EXPENDITURE HEALTH FACILITIES HEALTH INDICATORS HEALTH MANAGEMENT HEALTH POLICY HEALTH PROMOTION HEALTH RESULTS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPECIALIST HEALTH STRATEGY HEALTH SYSTEM HOSPITALS HOUSEHOLDS HUMAN DEVELOPMENT HUMAN RESOURCES IDENTIFICATION NUMBERS IMAGE INCOME INFORMATION SYSTEM INHABITANTS INNOVATION INTEGRATION INTERVENTION INTERVENTIONS LIFE EXPECTANCY MATERIAL MORTALITY NGOS NONGOVERNMENTAL ORGANIZATIONS NUTRITION NUTRITIONAL STATUS ONLINE DATABASE PATIENT PATIENTS PAYMENT SYSTEM PERFORMANCES PERSONAL HYGIENE PHYSICAL PRESENCE POSTNATAL CARE PREGNANCY PREGNANT WOMEN PUBLIC HEALTH QUALITY OF HEALTH REGISTRIES REGISTRY RELIABILITY RESULT RESULTS STANDARD FORMAT SUPERVISION TARGETS TECHNICAL ASSISTANCE TELEPHONE TRANSMISSION TUBERCULOSIS UNDER-FIVE MORTALITY USER USERS USES VERIFICATION VERIFICATIONS VILLAGE LEVEL VILLAGES WEB WORKERS |
| spellingShingle |
ADMINISTRATIVE COSTS ADMINISTRATIVE SYSTEM ANTENATAL CARE BUSINESS PLAN CAPACITY BUILDING CHILD HEALTH COMMUNITIES COMMUNITY ACTIVITIES COMMUNITY HEALTH COMMUNITY HEALTH SERVICES CONTRACEPTIVES COOPERATIVES COUNSELING DEATHS DECENTRALIZATION DESCRIPTION DISTRICTS ENVIRONMENTAL HEALTH FAMILY PLANNING FINANCIAL RESOURCES FRAUD HEALTH CARE HEALTH CARE PROVIDER HEALTH CENTERS HEALTH EXPENDITURE HEALTH FACILITIES HEALTH INDICATORS HEALTH MANAGEMENT HEALTH POLICY HEALTH PROMOTION HEALTH RESULTS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPECIALIST HEALTH STRATEGY HEALTH SYSTEM HOSPITALS HOUSEHOLDS HUMAN DEVELOPMENT HUMAN RESOURCES IDENTIFICATION NUMBERS IMAGE INCOME INFORMATION SYSTEM INHABITANTS INNOVATION INTEGRATION INTERVENTION INTERVENTIONS LIFE EXPECTANCY MATERIAL MORTALITY NGOS NONGOVERNMENTAL ORGANIZATIONS NUTRITION NUTRITIONAL STATUS ONLINE DATABASE PATIENT PATIENTS PAYMENT SYSTEM PERFORMANCES PERSONAL HYGIENE PHYSICAL PRESENCE POSTNATAL CARE PREGNANCY PREGNANT WOMEN PUBLIC HEALTH QUALITY OF HEALTH REGISTRIES REGISTRY RELIABILITY RESULT RESULTS STANDARD FORMAT SUPERVISION TARGETS TECHNICAL ASSISTANCE TELEPHONE TRANSMISSION TUBERCULOSIS UNDER-FIVE MORTALITY USER USERS USES VERIFICATION VERIFICATIONS VILLAGE LEVEL VILLAGES WEB WORKERS Renaud, Adrien Semasaka, Jean-Paul Verification of Performance in Results-Based Financing : The Case of Community and Demand-Side RBF in Rwanda |
| geographic_facet |
Africa Rwanda |
| relation |
HNP discussion paper; |
| description |
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. |
| format |
Publications & Research :: Working Paper |
| author |
Renaud, Adrien Semasaka, Jean-Paul |
| author_facet |
Renaud, Adrien Semasaka, Jean-Paul |
| author_sort |
Renaud, Adrien |
| title |
Verification of Performance in Results-Based Financing : The Case of Community and Demand-Side RBF in Rwanda |
| title_short |
Verification of Performance in Results-Based Financing : The Case of Community and Demand-Side RBF in Rwanda |
| title_full |
Verification of Performance in Results-Based Financing : The Case of Community and Demand-Side RBF in Rwanda |
| title_fullStr |
Verification of Performance in Results-Based Financing : The Case of Community and Demand-Side RBF in Rwanda |
| title_full_unstemmed |
Verification of Performance in Results-Based Financing : The Case of Community and Demand-Side RBF in Rwanda |
| title_sort |
verification of performance in results-based financing : the case of community and demand-side rbf in rwanda |
| publisher |
World Bank, Washington, DC |
| publishDate |
2014 |
| url |
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 |
| _version_ |
1764447070025940992 |