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