Mothers in Zimbabwe


The Health Results Innovation Trust Fund (HRITF) was created in 2007 to support results-based financing (RBF) approaches in the health sector. Through RBF, the HRITF aims to improve maternal and child health around the world.

HRITF is supported by the Governments of Norway through Norad and the United Kingdom through the Department for International Development (DFID). It is administered by The World Bank.

A total of $436 million in trust fund resources has been committed for 37 RBF programs in 31 countries, linked to $2.4 billion in financing from IDA—the World Bank’s fund for the poorest. Since inception the trust fund has disbursed $227.8 million—with sixty percent disbursed over the last two years when the majority of HRITF-funded RBF programs began implementing.

HRITF exists to:

  • Support design, implementation, monitoring and evaluation of RBF mechanisms
  • Develop and disseminate the evidence base for implementing successful RBF mechanisms      
  • Build country institutional capacity to scale up and sustain the RBF mechanisms, with the national health strategy and system
  • Attract additional financing to the health sector

With this mission, RBF approaches are being implemented to improve access to and quality of health services for women and children.

HRITF helps countries in three primary areas:

  1. Country Program Grants to provide financial support for design and implementation to country programs funded by the World Bank’s International Development Association (IDA).
  2. Knowledge and Learning Grants to support technical dialogue and learning around RBF design and implementation in IDA eligible countries.
  3. Evaluation Grants to support RBF program evaluation efforts to learn from successful (and unsuccessful) experiences from around the world, while contributing to local and global evidence-based policy-making.

To learn more, explore RBF Projects around the world or read the most recent annual report.