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In an attempt to strengthen the health system and improve health-service delivery, Zambia has been gradually...

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.

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