Community Results-Based Financing in Health Practice : Reflections on Implementation from Experiences in Six Countries
The term ‘community Results-Based Financing’ (cRBF) has been used to qualify a range of schemes whereby community actors such as community organizations, community health workers (CHW), and health facility committees (HFC) are contracted to facilit...
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| Format: | Brief |
| Language: | English en_US |
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World Bank, Washington, DC
2017
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| Online Access: | http://documents.worldbank.org/curated/en/384671497954845634/Community-results-based-financing-in-health-practice-reflections-on-implementation-from-experiences-in-six-countries http://hdl.handle.net/10986/27462 |
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okr-10986-274622021-06-18T09:02:30Z Community Results-Based Financing in Health Practice : Reflections on Implementation from Experiences in Six Countries Falisse, Jean-Benoit Vergeer, Petra Gebre Medhin, Joy Juquois, Maud Akpamoli, Alphonse Robyn, Jake Shu, Walters Zabiti, Michel Hassan, Rifat Jallow, Bakary Loum, Musa Ndizeye, Cedric Muvudi, Michel Booto, Baudouin Makuma Taptue Fotso, Jean Claude Sokegbe, Severin Magazi, Ibrahim Shapiro, Gil RESULTS-BASED FINANCING HEALTH FINANCE COMMUNITY HEALTH HEALTHCARE DELIVERY COMMUNITY ENGAGEMENT COMMUNITY HEALTH WORKERS The term ‘community Results-Based Financing’ (cRBF) has been used to qualify a range of schemes whereby community actors such as community organizations, community health workers (CHW), and health facility committees (HFC) are contracted to facilitate access to ‒and sometimes directly provide‒ preventative, promotional, and curative health-care services.It is too early to assess the effects of such experiences in the countries this brief focusses on (i.e. Benin, Cameroon, the Gambia, the Republic of Congo, and DR Congo), but comparing and discussing those schemes reveal aspects that are key in implementation, among others:Pre-cRBF community engagement in health-care varies a lot; successful implementations of cRBF have built on those features and peculiarities.Timely payment is crucial in a context where community actors often live in poverty; forms of pre-payment may improve retention and motivation.Central to quality is the training and monitoring of community actors, which is easily undermined by low commitment of district officers and chief nurses. Certification and focus on the lower levels of ‘cascading’ training may improve quality, as well as testing the knowledge of community actors.Information and Communication Technology is not a panacea for improving data collection and analysis: it requires a strong system in place, simple tools, and trained, supervised, and monitored actors‒three conditions rarely met in the field. cRBF is not always well integrated into health information systems.The choice of indicators and bonuses is often a top-down decision, more community engagement may be desirable but has to be accepted by the Ministry of Health. cRBF schemes are part of wider community health policy reforms and represent an entry door to re-vitalize the often neglected sector of community health. 2017-06-28T19:36:03Z 2017-06-28T19:36:03Z 2017-04 Brief http://documents.worldbank.org/curated/en/384671497954845634/Community-results-based-financing-in-health-practice-reflections-on-implementation-from-experiences-in-six-countries http://hdl.handle.net/10986/27462 English en_US Health, Nutrition and Population Knowledge Brief; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Brief |
| 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 |
RESULTS-BASED FINANCING HEALTH FINANCE COMMUNITY HEALTH HEALTHCARE DELIVERY COMMUNITY ENGAGEMENT COMMUNITY HEALTH WORKERS |
| spellingShingle |
RESULTS-BASED FINANCING HEALTH FINANCE COMMUNITY HEALTH HEALTHCARE DELIVERY COMMUNITY ENGAGEMENT COMMUNITY HEALTH WORKERS Falisse, Jean-Benoit Vergeer, Petra Gebre Medhin, Joy Juquois, Maud Akpamoli, Alphonse Robyn, Jake Shu, Walters Zabiti, Michel Hassan, Rifat Jallow, Bakary Loum, Musa Ndizeye, Cedric Muvudi, Michel Booto, Baudouin Makuma Taptue Fotso, Jean Claude Sokegbe, Severin Magazi, Ibrahim Shapiro, Gil Community Results-Based Financing in Health Practice : Reflections on Implementation from Experiences in Six Countries |
| relation |
Health, Nutrition and Population Knowledge Brief; |
| description |
The term ‘community Results-Based
Financing’ (cRBF) has been used to qualify a range of
schemes whereby community actors such as community
organizations, community health workers (CHW), and health
facility committees (HFC) are contracted to facilitate
access to ‒and sometimes directly provide‒ preventative,
promotional, and curative health-care services.It is too
early to assess the effects of such experiences in the
countries this brief focusses on (i.e. Benin, Cameroon, the
Gambia, the Republic of Congo, and DR Congo), but comparing
and discussing those schemes reveal aspects that are key in
implementation, among others:Pre-cRBF community engagement
in health-care varies a lot; successful implementations of
cRBF have built on those features and peculiarities.Timely
payment is crucial in a context where community actors often
live in poverty; forms of pre-payment may improve retention
and motivation.Central to quality is the training and
monitoring of community actors, which is easily undermined
by low commitment of district officers and chief nurses.
Certification and focus on the lower levels of ‘cascading’
training may improve quality, as well as testing the
knowledge of community actors.Information and Communication
Technology is not a panacea for improving data collection
and analysis: it requires a strong system in place, simple
tools, and trained, supervised, and monitored actors‒three
conditions rarely met in the field. cRBF is not always well
integrated into health information systems.The choice of
indicators and bonuses is often a top-down decision, more
community engagement may be desirable but has to be accepted
by the Ministry of Health. cRBF schemes are part of wider
community health policy reforms and represent an entry door
to re-vitalize the often neglected sector of community health. |
| format |
Brief |
| author |
Falisse, Jean-Benoit Vergeer, Petra Gebre Medhin, Joy Juquois, Maud Akpamoli, Alphonse Robyn, Jake Shu, Walters Zabiti, Michel Hassan, Rifat Jallow, Bakary Loum, Musa Ndizeye, Cedric Muvudi, Michel Booto, Baudouin Makuma Taptue Fotso, Jean Claude Sokegbe, Severin Magazi, Ibrahim Shapiro, Gil |
| author_facet |
Falisse, Jean-Benoit Vergeer, Petra Gebre Medhin, Joy Juquois, Maud Akpamoli, Alphonse Robyn, Jake Shu, Walters Zabiti, Michel Hassan, Rifat Jallow, Bakary Loum, Musa Ndizeye, Cedric Muvudi, Michel Booto, Baudouin Makuma Taptue Fotso, Jean Claude Sokegbe, Severin Magazi, Ibrahim Shapiro, Gil |
| author_sort |
Falisse, Jean-Benoit |
| title |
Community Results-Based Financing in Health Practice : Reflections on Implementation from Experiences in Six Countries |
| title_short |
Community Results-Based Financing in Health Practice : Reflections on Implementation from Experiences in Six Countries |
| title_full |
Community Results-Based Financing in Health Practice : Reflections on Implementation from Experiences in Six Countries |
| title_fullStr |
Community Results-Based Financing in Health Practice : Reflections on Implementation from Experiences in Six Countries |
| title_full_unstemmed |
Community Results-Based Financing in Health Practice : Reflections on Implementation from Experiences in Six Countries |
| title_sort |
community results-based financing in health practice : reflections on implementation from experiences in six countries |
| publisher |
World Bank, Washington, DC |
| publishDate |
2017 |
| url |
http://documents.worldbank.org/curated/en/384671497954845634/Community-results-based-financing-in-health-practice-reflections-on-implementation-from-experiences-in-six-countries http://hdl.handle.net/10986/27462 |
| _version_ |
1764464540113698816 |