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Petra Vergeer Health Specialist Health, Nutrition and Population Unit

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)

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Petra Vergeer Health Specialist Health, Nutrition and Population Unit

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  1. RESULTS-BASED FINANCINGHealth Results Innovation Trust FundClermont-Ferrand, FranceDecember 17-18, 2009 Petra Vergeer Health Specialist Health, Nutrition and Population Unit

  2. Health Results Innovation Trust Fund (HRITF) Principles Objective Current Activities (2007-2009) Expansion (2009-2020)

  3. 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.

  4. Objective • Support RBF approaches for achievement of the health-related MDGs, particularly focusing on MDGs 4 and 5. • Aims: • support design, implementation and evaluation of RBF mechanisms • develop and disseminate the evidence base for implementing successful RBF mechanisms • build national institutional capacity to scale-up and sustain the RBF mechanisms, within the national health strategy and system

  5. Current Activities (2007-2009) • Countries with RBF Pilot Projects (8) • Afghanistan; Benin; DRC; Eritrea; Ghana; Kyrgyz Republic; Rwanda; Zambia • Impact Evaluation – Start-up Phase • Seed Grants (6) • India; Lesotho; Liberia; Mongolia; Sierra Leone; Tajikistan • Analytical work • Tool Kit for RBF Supply-side (Rwanda experience); • Knowledge Product - Verification of performance linked to incentive • Knowledge Product - Role of Non-State Actors in RBF • RBF Website – Open Platform for Knowledge • Co-chair RBF Inter-Agency Working Group

  6. 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

  7. 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: • IHP+ principles and opportunities to work closely through the new Health Systems Funding platform • 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 • 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 • 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

  8. 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

  9. 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.

  10. http://www.rbfhealth.org/ THANK YOU

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