Question

In an attempt to strengthen the health system and improve health-service delivery, Zambia has been
gradually introducing RBF approaches to complement traditional input based financing in some of its
health programs and activities. Zambia was awarded a US$17 million grant in 2008 by the World
Bank through the Health Results Innovation Trust Fund (HRITF) to implement a RBF pilot project with
an accompanying Impact Evaluation (IE) led by the World Bank. Motivated by inadequate progress to
achieving MDGs 4 and 5 targets, the primary objective of the project was to catalyse the country’s
efforts to reduce under-five and maternal mortality in 11 districts in nine (9) of Zambia’s 10
provinces (except Lusaka) countrywide.

Perform a review of the Successes, Challenges and Opportunities of taking Results-Based Financing from scheme to system in health care financing.

Answer 1