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.