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RESULTS-BASED FINANCING Health Results Innovation Trust Fund Clermont-Ferrand, France December 17-18, 2009. Petra Vergeer Health Specialist Health, Nutrition and Population Unit. Health Results Innovation Trust Fund (HRITF). Principles Objective Current Activities (2007-2009) - PowerPoint PPT Presentation
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RESULTS-BASED FINANCING
Health Results Innovation Trust Fund
Clermont-Ferrand, FranceDecember 17-18, 2009
RESULTS-BASED FINANCING
Health Results Innovation Trust Fund
Clermont-Ferrand, FranceDecember 17-18, 2009
Petra VergeerHealth Specialist
Health, Nutrition and Population Unit
Health Results Innovation Trust Fund (HRITF)
Health Results Innovation Trust Fund (HRITF)
• Principles
• Objective
• Current Activities (2007-2009)
• Expansion (2009-2020)
Principles
The Health Results Innovation Trust Fund aims to be consistent with the International Health Partnership (IHP+) principles, working with development partners and countries to build and use country systems for results, wherever possible.
Objective
• Support RBF approaches for achievement of the health-related MDGs, particularly focusing on MDGs 4 and 5.
• Aims: o support design, implementation and evaluation of RBF
mechanismso develop and disseminate the evidence base for
implementing successful RBF mechanismso build national institutional capacity to scale-up and
sustain the RBF mechanisms, within the national health strategy and system
Current Activities (2007-2009)• Countries with RBF Pilot Projects (8)
o Afghanistan; Benin; DRC; Eritrea; Ghana; Kyrgyz Republic; Rwanda; Zambia
• Impact Evaluation – Start-up Phase• Seed Grants (6)
o India; Lesotho; Liberia; Mongolia; Sierra Leone; Tajikistan• Analytical work
o Tool Kit for RBF Supply-side (Rwanda experience); o Knowledge Product - Verification of performance linked to
incentive o Knowledge Product - Role of Non-State Actors in RBF
• RBF Website – Open Platform for Knowledge• Co-chair RBF Inter-Agency Working Group
Expansion
• Initial funding Norway US$95 million
• Norway and the United Kingdom additional support to the HRITF in the amount of US$440 million equivalent for the period 2009 – 2020
HRITF – Future Country Identification
Identification of countries will be guided by the following criteria: •49 LICs, particularly with a high burden of disease for health-related MDGs, focusing on MDGs 4 and 5•Commitments to:
o IHP+ principles and opportunities to work closely through the new Health Systems Funding platform
o Global Consensus on Maternal, Newborn and Child Health (the ‘Consensus’)—including removing barriers to access, with services for women and children free at the point of use where countries choose
o And track record to implementing equitable strategies that will demonstrate an increase in the proportion of health services consumed by the poor, women and children
o Scaling-up RBF, learning-by-doing and evaluation •Potential for IDA-financed HNP projects, particularly sector reform operations•A positive track record in the management of external funds to support HSS
HRITF Activities
• Sharing lessons learnt (documenting implementation and impact evaluation through RBF website, conferences, etc.)
• RBF Seed Grants
• Independent External Evaluation of the Trust Fund
HRITF Activities
• Buy-downs and Buy-ups
Buy-downs involve the provision by donors of committed funding to ‘buy-down’, or pay for all, or part of a Bank loan/credit on behalf of the government, once results are achieved.
Buy-ups support IDA countries that receive grant financing, whereby additional donor financing is provided based on results.
Proposal covering the rationale for buy-downs and buy-ups, and other approaches that can leverage additional resources and incentivize performance for the national health sector.
http://www.rbfhealth.org/
THANK YOU