Understanding which organizational, behavioral, and other contextual factors determine good performance and successful results in Results-Based Financing (RBF) programs is important for measuring those factors. To comprehensively assess what determines success and failure in RBF programs, specifically the ones using Performance-Based Financing (PBF), the Health Results Innovation Trust Fund has developed a conceptual framework that delineates what PBF brings about in terms of behavioral, organizational, and contextual changes.

This report has been developed to provide a timely and constructive input to the Global Financing Facility business plan development process, in the context of supporting the 2015 update to the Global Strategy for Women’s, Children’s and Adolescents’ Health. It is the first report in a consultation process that will extend through the early part of 2015 around the development of the next Global Strategy for Women’s Children’s and Adolescents’ Health under the Every Woman Every Child banner.

Results-Based Financing, RBF, rewards health facilities and frontline health workers for outcomes produced. The money earned as an incentive for the delivery of specified maternal and child health services provided makes up about 2% of the program budget - yet provides motivation for better results.

It’s a question of “I’m going to give you a little incentive to use the other 98% of your budget more efficiently,” said Paul Gertler, a professor of economics at the University of California.

The Global Financing Facility (GFF)  in support of Every Woman Every Child is a breakthrough financing model that unites resources from countries themselves, international donors and the private sector to accelerate advancements in the health of women and children. Launched at the Third International Financing for Development Conference in July, 2015, the GFF is a key financing platform in support of the United Nations Secretary-General’s

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