This paper presents the findings of a review of 260 Health, Nutrition, and Population (HNP) projects with a health sector performance theme (148 active and 112 closed operations) approved by the World Bank Board between FY95 and FY08. The purpose of the review is to understand the nature and extent of World Bank experience with RBF for health, and to draw lessons from ongoing and past projects for strengthening design, implementation, monitoring and evaluation of projects in the future.