Health Results Innovation Trust Fund

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The World Bank’s multi-donor Health Results Innovation Trust Fund (HRITF) supports results-based financing (RBF) approaches in the health sector for achievement of the health-related MDGs ─ particularly MDGs 1c, 4 and 5. Donors to the HRITF include the Governments of Norway and the United Kingdom, with commitments totaling over US$500 million through 2022. The HRITF finances activities to enhance access to and improve the quality of basic health services using a variety of RBF mechanisms.

The HRITF has four specific aims:

• 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;
• and Attract additional financing to the health sector.

The HRITF works with development partners and client countries to build and use country systems, wherever possible. The HRITF aims to be consistent with the principles of the International Health Partnership (IHP+), and the Global Consensus on Maternal, Newborn and Child Health.

The HRITF supports:

• Country Pilot Grants to design, implement, monitor and evaluate RBF mechanisms. The following countries are currently supported: Afghanistan, Benin, Democratic Republic of the Congo, Ghana, India, Kyrgyz Republic, Rwanda, Zambia, and Zimbabwe.
• Seed grants to assess the value and feasibility of RBF mechanisms in countries.
• Dissemination and knowledge sharing.
• A global website for knowledge and learning (www.rbfhealth.org).
• An Interagency Working Group (IWG) on RBF, co-chaired by the World Bank, to share knowledge, best practices and lessons learned.

The HRITF was initiated in December 2007 and is expected to operate through 2022.