The World of Initiatives - Performance Based Financing

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Transcript The World of Initiatives - Performance 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
• Principles
• Objective
• Current Activities (2007-2009)
• Expansion (2009-2020)
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
• Support RBF approaches for achievement of the healthrelated MDGs, particularly focusing on MDGs 4 and 5.
• Aims:
o support design, implementation and evaluation of RBF
o develop and disseminate the evidence base for
implementing successful RBF mechanisms
o 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
o Knowledge Product - Role of Non-State Actors in RBF
• RBF Website – Open Platform for Knowledge
• Co-chair RBF Inter-Agency Working Group
• 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
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 buyups, and other approaches that can leverage additional
resources and incentivize performance for the national
health sector.