ABOUT THE COURSE
Traditionally government and donor funds to improve service delivery have concentrated on increasing critical inputs, such as infrastructure, equipment, supplies, drugs and vaccines. Since the adoption of the Millennium Declaration in 2000, this development assistance for health has more than doubled. And yet the increase in investments did not translate into expected health outcomes in low and middle-income countries. The challenges faced are unequal access and coverage to health services, low quality services, inefficient delivery services and management capacity, and limited financial protection.
Many countries, especially those in Africa, are faced with challenges to improve health outcomes. Several reasons contribute to this, including ineffective use of available resources with associated lack of infrastructure and managerial capacity. Thus, many governments and development agencies have been motivated to try new innovations and approaches that can boost health system functioning. Results-Based Financing (RBF) is a set of such approaches, which link financing to defined services or targets. Experience so far indicates that RBF approaches can help strengthen health systems, and boost demand for services, creating greater value for money interventions by shifting the focus from inputs to results.
Nevertheless, countries and development agencies are faced with insufﬁcient RBF implementation capacity. To that end, The World Bank and its partners have undertaken many capacity building engagements on RBF, including (a) consultations with key stakeholders; (b) study tours from countries considering or starting RBF schemes to those already implementing them; (c) knowledge and lesson-sharing events on RBF; (d) technical training workshops tor policy makers and other stakeholders, and (e) peer-to-peer-exchange forms to learn from implementation of RBF. These programs are geared at building implementation capacity and mitigating the risk of failure in implementing RBF mechanisms. The e-learning platform is expected to complement these initiatives and provide development practitioners a virtual classroom to share high quality RBF learning and knowledge resources, to build RBF implementation capacity within the context of health system strengthening and poverty reduction.