Zimbabwe - Health Results-Based Financing Impact Evaluation 2014

The RBF pilot program has three components: (i) results-based contracting; (ii) management and capacity building; and (iii) monitoring and documentation. Under the first component, a portion of financing received by health facilities depends on the quantity and quality of services, with a focus on maternal and child health. User fees were abolished in RBF pilot program districts, with the aim of improving access to care. The impact evaluation was designed to inform several policy questions including the effects of the RBF pilot program on the utilization and quality of maternal and child health services as well as its effects on health system functioning.The impact evaluation comprised quantitative and qualitative approaches. The evaluation investigated the impact of RBF over a broad range of targeted and non-incentivized services related to maternal and child health services.