As part of our mandate to gather and disseminate evidence and knowledge from global RBF experiences, RBF Health regularly organizes events, including seminars and capacity building workshops.
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Qualitative Research in RBF: The Promise and the Reality

Join the conversation on Wednesday, 18 February, when Fabian Cataldo and Karina Kielmann, Queen Margaret University, UK, in collaboration with the London School of Hygiene and Tropical Medicine, present a review of qualitative research carried out to unpack the context, links and relevance of Results-Based Financing (RBF) in 20 Health Results Innovation Trust Fund-financed projects between 2011 and 2015. During the Seminar, they will introduce the methodological approach used to assess the quality of qualitative research elements, a summary of the main findings, and reflections on the opportunities for strengthening the inclusion of qualitative approaches, using innovative methods, and thinking about ways in which the results of qualitative analysis can feedback into research, evaluation and program implementation.


Results-Based-Financing programs involve complex health systems interventions. Project experiences to date show that multiple systems components and their interactions affect health workers' motivation and capacity to implement activities for improved service delivery. There is consensus that qualitative research methodologies can enhance the understanding of how the intervention is implemented within the context of local health systems, and how it does or does not work towards desired outcomes. As a result, HRTIF impact evaluations have increasingly used qualitative research methodologies to understand how RBF mechanisms work, and what intermediate components are relevant in the causal pathways between intervention and outcomes. However, to maximize the potential for qualitative research to generate relevant and meaningful data about processes and mechanisms of effect, research has to be fit-for-purpose, adapted to local context and capacity, asking the right questions, and using appropriate, rigorous, and ethical methods of data collection and analysis. 



Dr. Karina Kielmann, Medical Anthropologist, Queen Margaret University, UK

Dr. Karina Kielmann (Institute for International Health and Development, Queen Margaret University & London School of Hygiene and Tropical Medicine, UK) is a medical anthropologist with an MA in anthropology (McGill University) and a Ph.D. in Public Health (Johns Hopkins Bloomberg School of Public Health). Dr. Kielmann has 14 years of experience in research, teaching, and developing capacity for social science research in international public health settings. She is currently a Senior Lecturer at the Institute for International Health and Development (IIHD), Queen Margaret University, and Lecturer at The London School of Hygiene and Tropical Medicine.

Dr. Fabian Cataldo, Social Anthropologist

Dr. Fabian Cataldo (Independent Consultant working in collaboration with the London School of Hygiene and Tropical Medicine, UK) is a social anthropologist with an MA, MRes and Ph.D. in Social Anthropology (Goldsmiths, University of London, Wellcome Trust Biomedical Ethics Programme). Dr. Cataldo is specialized in questions related to health systems and access to treatment and care in low-income settings. Over the past 15 years he has undertaken extensive fieldwork in low and middle-income countries. Dr. Cataldo is the Principal Investigator and main coordinator of a number of large inter-disciplinary studies, including research on universal access to ART in Brazil’s shantytowns, access to SRH and HIV services for adolescents and most at risk populations, PMTCT interventions in Malawi, and health systems strengthening interventions in low resource settings.


Qualitative Research in RBF: The Promise and the Reality
Introduction to Qualitative Research Methodology: A Training Manual
HRITF Qualitative Research Synthesis Report - March 31, 2015