Rifat Hasan, Health Specialist and Christel Vermeersch, Senior Economist
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As we all know, RBF is being used in many settings to improve health care utilization and subsequently, healthcare outcomes. A range of evaluations have been conducted and are ongoing to assess the programs and learn about their impact. Apart from the clear lack of strong quantitative evidence that includes credible estimates of the counterfactual (i.e. what would have happened without RBF), an additional theme has emerged – it’s not enough to understand whether RBF works and which outcomes it affects in a particular context, but we need more information about how to interpret the results. Why did some indicators move and others not? What was the impact of the context and non-RBF parts of the health system? And conversely, how did RBF change the health system?
1 Eichler et al., 2009, Eldridge and Palmer 2009, Ireland et al., 2011
2 De Savigny et al., 2009; Fretheim et al., 2012