Zimbabwe

Results-Based Financing has become widely known among people across Zimbabwe. Despite the challenging setting, this approach has quickly contributed to better health services.

The program, which is funded by the World Bank’s multi-donor Health Results Innovation Trust Fund at the request of the government, provides subsidies to health clinics and hospitals based on their performance in delivering a package of free health services to pregnant women and children under five.

In Zimbabwe, the City of Harare uses a demand-side voucher program to target the bottom 40 percent households for access to maternal and child health services. This urban component is part of Zimbabwe's Results-Based Financing program and has already helped more than 2500 mothers gain access to health services that they would otherwise not be able to afford.

There is a great deal of evidence of “what works” in global health. Translating this evidence into results, however, is a challenge and requires acute attention to its delivery or implementation.

Effectively implementing evidence is an active process and requires a continuous cycle of learning. It is a science that involves the systematic identification and analysis of the factors that affect implementation, and the series of actions that are taken to address them. Knowledge dissemination and sharing is also a part of this science— the science of delivery.

While the number of maternal and child deaths almost halved between 1990 and 2013, progress on neonatal mortality has noticeably lagged behind.
Consider this:

Bernadette Sobuthana’s mother was pregnant with twins, when she suddenly vomited and died. The problem was hypertension, which could have been easily treated with drugs, but there wasn’t enough time: the closest clinic was 25 kilometers away and the only form of transportation was ox-drawn cart.

Article from The Lancet

Background

Cash-transfer programmes can improve the wellbeing of vulnerable children, but few studies have rigorously assessed their effectiveness in sub-Saharan Africa. We investigated the effects of unconditional cash transfers (UCTs) and conditional cash transfers (CCTs) on birth registration, vaccination uptake, and school attendance in children in Zimbabwe.

Story by Jane Zhang, video by Peter Von Elling

CHIPARAWE, Zimbabwe – Teclar Gohori had heard plenty of horror stories about women dying of post-partum bleeding while giving birth at home. But when she became pregnant with her first child, she discovered that a hospital birth was simply out of reach.

RBF is contributing to better health care for women and children, now covering 387 facilities in Zimbabwe – mainly rural clinics – in 18 health districts. The program provides subsidies to health clinics and district hospitals based on their performance in delivering health services. Community health committees are key to the program’s success.

This page contains links to the detailed designs of the HRITF-funded Impact Evaluations (those that are designed and approved).

Each country's sheet contains the date of last update.

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