Results-based financing as a strategic purchasing intervention: some progress but much further to go in Zimbabwe?

BMC Health Services Research
Sophie WitterSteve Banda

Abstract

Results-Based Financing (RBF) has proliferated in the health sectors of low and middle income countries, especially those which are fragile or conflict-affected, and has been presented by some as a way of reforming and strengthening strategic purchasing. However, few if any studies have empirically and systematically examined how RBF impacts on health care purchasing. This article examines this question in the context of Zimbabwe's national RBF programme. The article is based on a documentary review, including 60 documents from 2008 to 2018, and 40 key informant (KI) interviews conducted with international, national and district level stakeholders in early 2018 in Zimbabwe. Interviews and analysis of both datasets followed an existing framework for strategic purchasing, adapted to reflect changes over. We find that some functions, such as assessing service infrastructure gaps, are unaffected by RBF, while others, such as mobilising resources, are partially affected, as RBF has focused on one package of care (maternal and child health services) within the wider essential health care, and has contributed important but marginal costs. Overall purchasing arrangements remain fragmented. Limited improvements have been made to communi...Continue Reading

References

Dec 12, 2012·Bulletin of the World Health Organization·Joseph Kutzin
Mar 16, 2017·BMC Health Services Research·Matthieu AntonyOlivier Barthes
May 19, 2019·Social Science & Medicine·Maria Paola BertoneSophie Witter
Jul 25, 2019·Global Health Research and Policy·Sophie WitterMaria Paola Bertone
Apr 3, 2017·Health Systems and Reform·Agnès SoucatJoseph Kutzin

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Citations

Jul 25, 2019·Global Health Research and Policy·Sophie WitterMaria Paola Bertone
May 11, 2021·Health Systems and Reform·Isidore SieleunouElise Virginie Longang Tchatchouang

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Software Mentioned

RBF
RBF Project Implementation Manual
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