Qualitative Research to Enhance the Evaluation of Results-Based Financing Programmes : The Promise and the Reality

This Discussion Paper presents the approach, findings, and recommendations from a desk review of the qualitative research conducted within Results-Based Financing programmes (RBF) under the Health Results Innovations Trust Fund (HRITF). The review...

Full description

Bibliographic Details
Main Authors: Cataldo, Fabian, Kielmann, Karina
Format: Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2016
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2016/03/26012500/qualitative-research-enhance-evaluation-results-based-financing-programmes-promise-reality
http://hdl.handle.net/10986/24038
id okr-10986-24038
recordtype oai_dc
spelling okr-10986-240382021-05-25T10:54:44Z Qualitative Research to Enhance the Evaluation of Results-Based Financing Programmes : The Promise and the Reality Cataldo, Fabian Kielmann, Karina SKILLS WASTE GOOD PRACTICE DISCUSSION COMMUNICATION PROTOCOLS COMMUNITIES RISKS FOCUS GROUP WORKFORCE AWARENESS INFORMED CONSENT PERSONALITY UNITS OF ANALYSIS FEEDBACK TIME KNOWLEDGE TRANSFER PSYCHOLOGY TRAITS DATA COLLECTION COMMUNITY HEALTH CITATION INFORMATION HEALTH RESEARCH HEALTH CARE CONTENTS ADAPTIVE SYSTEMS RESEARCH CAPACITY EFFECTS HEALTH RESEARCHER HOLISTIC APPROACH THINKING LEADING CULTURAL NORMS RESEARCH INSTITUTIONS QUALITATIVE DATA COLLABORATION KNOWLEDGE COMMUNITY MEMBERS ARCHIVES COMPLEXITY DATA TECHNIQUES SPACE METHODOLOGIES IDENTITY DOCUMENT PARTNERSHIPS PATIENT PATIENTS RESEARCH METHODOLOGY INTERVENTION PROBABILITY RELATIONSHIPS SITE EXPERTS OBSERVATION CASES DOCUMENTS COMPETENCIES LEARNING INDICATORS RESEARCH STANDARDS PROCESS DATA ANALYSIS METHODS STUDY INTERVIEW PRACTICE INSIGHTS TESTING PUBLISHING METHODS USERS HIERARCHIES INTERVIEWS WORKERS RESEARCH POLICY FATIGUE SCIENCE VALIDITY DESCRIPTION BOUNDARIES HEALTH OUTCOMES QUANTITATIVE DATA PROCESSES HYGIENE RESEARCHERS PROTOCOLS SOCIAL SCIENCE DECISION-MAKING SAMPLES LOGIC COMPLEX ADAPTIVE SYSTEMS MEASUREMENT NUTRITION CONCEPTUAL FRAMEWORK WORKSHOPS ASSUMPTIONS QUALITY CONTROL RESEARCH PROJECTS RESEARCH METHODOLOGIES CASE INTERNET CONCEPT UNDERSTANDING THEORY RAW’ DATA EVALUATION HUMAN RESOURCES SAMPLING ISOLATION INTEGRATION INNOVATION SITES PROTOCOL ORGANIZATIONAL CHANGE COMMUNICATION STRATEGY EPIDEMIOLOGY CHILD HEALTH SERVICES CONCEPTS VARIETY DATABASE METHODOLOGY QUESTIONNAIRES RESEARCH STRATEGIES HEALTH INTERVENTIONS RESEARCH TECHNIQUES HEALTH SERVICES IMPLEMENTATION ENTRY INNOVATIONS NURSING STORAGE This Discussion Paper presents the approach, findings, and recommendations from a desk review of the qualitative research conducted within Results-Based Financing programmes (RBF) under the Health Results Innovations Trust Fund (HRITF). The review included 17 studies conducted in Benin, Burundi, Cameroon, DRC, Ethiopia, Haiti, Kenya, Kyrgyzstan, Nigeria, Rwanda, Tajikistan, Tanzania, Zambia, and Zimbabwe. The studies reveal a body of high quality work that is consistent with the conceptual framework of RBF schemes, supported by political will, resources, and research capacity. Strengthening the added value of qualitative inquiry in on-going and future qualitative studies may be enabled by small shifts in thinking and practice, in line with a qualitative research paradigm. First, in order to better ground research in an existing country and system specific context, some interrogation of constructs and posited relationships in the existing conceptual framework for intervention/evaluation may be required. Second, to enable more in-depth and richer data that documents working practices and relations under RBF schemes, training of local researchers should place stronger emphasis on entry to the field, gaining trust, building rapport, and sustaining a dialogue with key informants. Third, smaller, more intensive and focused studies targeting fewer sites and smaller samples - but addressing a wider range of methods and informants within the health system - are likely to yield richer data that can support the understanding of how health workers and managers are responding to schemes, and what impact schemes have on service volumes and outputs. 2016-04-11T18:37:29Z 2016-04-11T18:37:29Z 2016-02 Working Paper http://documents.worldbank.org/curated/en/2016/03/26012500/qualitative-research-enhance-evaluation-results-based-financing-programmes-promise-reality http://hdl.handle.net/10986/24038 English en_US Health, Nutrition and Population Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper Africa Europe and Central Asia Latin America & Caribbean
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 SKILLS
WASTE
GOOD PRACTICE
DISCUSSION
COMMUNICATION PROTOCOLS
COMMUNITIES
RISKS
FOCUS GROUP
WORKFORCE
AWARENESS
INFORMED CONSENT
PERSONALITY
UNITS OF ANALYSIS
FEEDBACK
TIME
KNOWLEDGE TRANSFER
PSYCHOLOGY
TRAITS
DATA COLLECTION
COMMUNITY HEALTH
CITATION
INFORMATION
HEALTH RESEARCH
HEALTH CARE
CONTENTS
ADAPTIVE SYSTEMS
RESEARCH CAPACITY
EFFECTS
HEALTH
RESEARCHER
HOLISTIC APPROACH
THINKING
LEADING
CULTURAL NORMS
RESEARCH INSTITUTIONS
QUALITATIVE DATA
COLLABORATION
KNOWLEDGE
COMMUNITY MEMBERS
ARCHIVES
COMPLEXITY
DATA
TECHNIQUES
SPACE
METHODOLOGIES
IDENTITY
DOCUMENT
PARTNERSHIPS
PATIENT
PATIENTS
RESEARCH METHODOLOGY
INTERVENTION
PROBABILITY
RELATIONSHIPS
SITE
EXPERTS
OBSERVATION
CASES
DOCUMENTS
COMPETENCIES
LEARNING
INDICATORS
RESEARCH
STANDARDS
PROCESS
DATA ANALYSIS
METHODS STUDY
INTERVIEW
PRACTICE
INSIGHTS
TESTING
PUBLISHING
METHODS
USERS
HIERARCHIES
INTERVIEWS
WORKERS
RESEARCH POLICY
FATIGUE
SCIENCE
VALIDITY
DESCRIPTION
BOUNDARIES
HEALTH OUTCOMES
QUANTITATIVE DATA
PROCESSES
HYGIENE
RESEARCHERS
PROTOCOLS
SOCIAL SCIENCE
DECISION-MAKING
SAMPLES
LOGIC
COMPLEX ADAPTIVE SYSTEMS
MEASUREMENT
NUTRITION
CONCEPTUAL FRAMEWORK
WORKSHOPS
ASSUMPTIONS
QUALITY CONTROL
RESEARCH PROJECTS
RESEARCH METHODOLOGIES
CASE
INTERNET
CONCEPT
UNDERSTANDING
THEORY
RAW’ DATA
EVALUATION
HUMAN RESOURCES
SAMPLING
ISOLATION
INTEGRATION
INNOVATION
SITES
PROTOCOL
ORGANIZATIONAL CHANGE
COMMUNICATION
STRATEGY
EPIDEMIOLOGY
CHILD HEALTH SERVICES
CONCEPTS
VARIETY
DATABASE
METHODOLOGY
QUESTIONNAIRES
RESEARCH STRATEGIES
HEALTH INTERVENTIONS
RESEARCH TECHNIQUES
HEALTH SERVICES
IMPLEMENTATION
ENTRY
INNOVATIONS
NURSING
STORAGE
spellingShingle SKILLS
WASTE
GOOD PRACTICE
DISCUSSION
COMMUNICATION PROTOCOLS
COMMUNITIES
RISKS
FOCUS GROUP
WORKFORCE
AWARENESS
INFORMED CONSENT
PERSONALITY
UNITS OF ANALYSIS
FEEDBACK
TIME
KNOWLEDGE TRANSFER
PSYCHOLOGY
TRAITS
DATA COLLECTION
COMMUNITY HEALTH
CITATION
INFORMATION
HEALTH RESEARCH
HEALTH CARE
CONTENTS
ADAPTIVE SYSTEMS
RESEARCH CAPACITY
EFFECTS
HEALTH
RESEARCHER
HOLISTIC APPROACH
THINKING
LEADING
CULTURAL NORMS
RESEARCH INSTITUTIONS
QUALITATIVE DATA
COLLABORATION
KNOWLEDGE
COMMUNITY MEMBERS
ARCHIVES
COMPLEXITY
DATA
TECHNIQUES
SPACE
METHODOLOGIES
IDENTITY
DOCUMENT
PARTNERSHIPS
PATIENT
PATIENTS
RESEARCH METHODOLOGY
INTERVENTION
PROBABILITY
RELATIONSHIPS
SITE
EXPERTS
OBSERVATION
CASES
DOCUMENTS
COMPETENCIES
LEARNING
INDICATORS
RESEARCH
STANDARDS
PROCESS
DATA ANALYSIS
METHODS STUDY
INTERVIEW
PRACTICE
INSIGHTS
TESTING
PUBLISHING
METHODS
USERS
HIERARCHIES
INTERVIEWS
WORKERS
RESEARCH POLICY
FATIGUE
SCIENCE
VALIDITY
DESCRIPTION
BOUNDARIES
HEALTH OUTCOMES
QUANTITATIVE DATA
PROCESSES
HYGIENE
RESEARCHERS
PROTOCOLS
SOCIAL SCIENCE
DECISION-MAKING
SAMPLES
LOGIC
COMPLEX ADAPTIVE SYSTEMS
MEASUREMENT
NUTRITION
CONCEPTUAL FRAMEWORK
WORKSHOPS
ASSUMPTIONS
QUALITY CONTROL
RESEARCH PROJECTS
RESEARCH METHODOLOGIES
CASE
INTERNET
CONCEPT
UNDERSTANDING
THEORY
RAW’ DATA
EVALUATION
HUMAN RESOURCES
SAMPLING
ISOLATION
INTEGRATION
INNOVATION
SITES
PROTOCOL
ORGANIZATIONAL CHANGE
COMMUNICATION
STRATEGY
EPIDEMIOLOGY
CHILD HEALTH SERVICES
CONCEPTS
VARIETY
DATABASE
METHODOLOGY
QUESTIONNAIRES
RESEARCH STRATEGIES
HEALTH INTERVENTIONS
RESEARCH TECHNIQUES
HEALTH SERVICES
IMPLEMENTATION
ENTRY
INNOVATIONS
NURSING
STORAGE
Cataldo, Fabian
Kielmann, Karina
Qualitative Research to Enhance the Evaluation of Results-Based Financing Programmes : The Promise and the Reality
geographic_facet Africa
Europe and Central Asia
Latin America & Caribbean
relation Health, Nutrition and Population Discussion Paper;
description This Discussion Paper presents the approach, findings, and recommendations from a desk review of the qualitative research conducted within Results-Based Financing programmes (RBF) under the Health Results Innovations Trust Fund (HRITF). The review included 17 studies conducted in Benin, Burundi, Cameroon, DRC, Ethiopia, Haiti, Kenya, Kyrgyzstan, Nigeria, Rwanda, Tajikistan, Tanzania, Zambia, and Zimbabwe. The studies reveal a body of high quality work that is consistent with the conceptual framework of RBF schemes, supported by political will, resources, and research capacity. Strengthening the added value of qualitative inquiry in on-going and future qualitative studies may be enabled by small shifts in thinking and practice, in line with a qualitative research paradigm. First, in order to better ground research in an existing country and system specific context, some interrogation of constructs and posited relationships in the existing conceptual framework for intervention/evaluation may be required. Second, to enable more in-depth and richer data that documents working practices and relations under RBF schemes, training of local researchers should place stronger emphasis on entry to the field, gaining trust, building rapport, and sustaining a dialogue with key informants. Third, smaller, more intensive and focused studies targeting fewer sites and smaller samples - but addressing a wider range of methods and informants within the health system - are likely to yield richer data that can support the understanding of how health workers and managers are responding to schemes, and what impact schemes have on service volumes and outputs.
format Working Paper
author Cataldo, Fabian
Kielmann, Karina
author_facet Cataldo, Fabian
Kielmann, Karina
author_sort Cataldo, Fabian
title Qualitative Research to Enhance the Evaluation of Results-Based Financing Programmes : The Promise and the Reality
title_short Qualitative Research to Enhance the Evaluation of Results-Based Financing Programmes : The Promise and the Reality
title_full Qualitative Research to Enhance the Evaluation of Results-Based Financing Programmes : The Promise and the Reality
title_fullStr Qualitative Research to Enhance the Evaluation of Results-Based Financing Programmes : The Promise and the Reality
title_full_unstemmed Qualitative Research to Enhance the Evaluation of Results-Based Financing Programmes : The Promise and the Reality
title_sort qualitative research to enhance the evaluation of results-based financing programmes : the promise and the reality
publisher World Bank, Washington, DC
publishDate 2016
url http://documents.worldbank.org/curated/en/2016/03/26012500/qualitative-research-enhance-evaluation-results-based-financing-programmes-promise-reality
http://hdl.handle.net/10986/24038
_version_ 1764455420540223488