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We are pleased to share updates from Buenos Aires, Argentina where practitioners and policy makers from around the world have gathered for the Annual Results and Impact Evaluation Workshop for RBF. For the first time, participants will be joined by several of our partner organizations, who are also attending the workshop.

For the duration of the event, which runs from March 25 to April 1, our blog will bring you highlights and insights from workshop sessions, where attendees will share knowledge and lessons from 36 RBF programs in 31 countries.

Please check this page often for updates from the first week of the workshop: March 25 to 28, 2014. 

Get highlights from the second week of the workshop: March 29 to April 1, 2014.

Day Four: Friday, March 28, 2014

Postcards from the Annual Results and Impact Evaluation Workshop for RBF in Argentina

Tim Evans, Director of Health, Nutrition and Population at The World Bank, opened Day Four of the workshop, where a new group of countries joined the conversation. He applauded the global RBF community for their commitment to learning and sharing knowledge, as demonstrated by the number of countries attending the workshop to learn from one another and share lessons from their respective nations.

During the first part of the day, participants learned about the science of delivering RBF projects. This presentation shared the top 10 lessons from a review of eight RBF projects in the portfolio such as:

  • Keep moving the goal posts. Many facilities make rapid improvements in quality and then plateau. Revising checklists regularly is necessary.
  • To be discerning, we keep on learning. RBF is a tool that allows for experimentation, learning and course-correction.
  • Understand your customers. Understanding the root causes of the problem RBF is trying to solve is essential.

The primary message was that countries ought to "implement, learn and share the lessons learned along the way.” Also, participants developed a plan that could help strengthen critical areas in the implementation of RBF projects.

In the afternoon, the presentation, "Learning from RBF Implementation," focused on Zimbabwe to highlight the learning that has taken place during design and implementation. The session discussed the quantitative and qualitative results generated by Zimbabwe's learning from implementation studies, resulting in a RBF program that has evolved over time.
 


Day Three: Thursday, March 27, 2014

Postcards from the Annual Results and Impact Evaluation Workshop for RBF in Argentina

Participants spent the sessions of Day Three learning about Plan Nacer and the impressive impact evaluation results.

The highlight of the day included field visits to Plan Nacer health facilities, where participants got a first-hand look at how the program works in practice. This outing also gave attendees the opportunity to interact with other workshop participants who have come to Buenos Aires from around the world.

They gained insights from Provisional Purchasing Offices, Provincial Purchasing Office Coordinators, External Audit representatives and an Impact Evaluation expert, who provided further context and answered participants' questions about Plan Nacer.


Day Two: Wednesday, March 26, 2014

Postcards from the Annual Results and Impact Evaluation Workshop for RBF in Argentina

The knowledge shared in Argentina on Day Two was wide-ranging. Morning sessions covered topics such as:

  • improving medicine supply chains to debottleneck RBF programs;
  • challenges and lessons from implementing RBF impact evaluations;
  • gaining buy-in from RBF national and international actors to enhance sustainability;
  • scaling up capacity-building and human resources for RBF.

Also, the benefits of cross-country learning on Results-Based Financing and impact evaluations came into focus.

Presenters emphasized the valuable learning that takes place when countries visit other nations implementing RBF and impact evaluations. Country examples shared included Cameroon and Chad, which have had success with the cross-country learning approach.

Day Two concluded with group-work sessions, during which participants worked on a draft instrument, which could be helpful for assessing cross-country learning on RBF and impact evaluations. 


Day One: Tuesday, March 25, 2014

Postcards from the Annual Results and Impact Evaluation Workshop for RBF in Argentina

Argentina's Secretary of Health Promotion and Programs in the National Ministry of Health, Dr. Jaime Lazovski, officially opened the workshop on Tuesday morning. Lazovski spoke about the social, political and economic issues contributing to Argentina's introduction of Plan Nacer and its role in reducing the gap in access to healthcare between high- and low-income earners.

Joana Godinho, Health Sector Manager for Latin America and the Caribbean Region, also delivered remarks at the opening. She noted that "region's strong interest and pioneering role in RBF," making it a fitting workshop location. 

Monique Vledder and Damien de Walque delivered the first presentation, which covered the “State of play of RBF,” the HRITF learning agenda and impact evaluation portfolio.

Paul Gertler, Principal Investigator for Plan Nacer, also shared some of the impact evaluation findings and applauded Argentina's robust data collection, which made for a rigorous impact evaluation.

Throughout the day, participants also attended sessions on how to use operational data for RBF programs and got insights from a cross-case analysis on verification of results. In addition, the day featured a session on strengthening the quality of health services and ended with a group-work exercise on challenges and lessons learned.
 

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