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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Using RBF to Improve the Delivery of Maternal and Child Health Services in Zambia: Impact Evaluation Results




Zambia’s Results-Based Financing pilot project began in April 2012 in 11 rural districts, representing nine provinces out of a total of ten, 204 health facilities, and a total catchment population of nearly 1.7 million. The Zambian RBF model is one of the very few examples of “contracting in” with a view to build on and strengthen the existing public health system. The program was designed to help address various health system challenges including an insufficient and poorly motivated human-resource base; an erratic supply of essential medicines and medical supplies; limited autonomy in decision-making at decentralized levels of the health system; weak monitoring and evaluation systems; and poor quality of service delivery.

The Zambia RBF impact evaluation is unique in that the RBF model was tested against two alternative models of health service delivery: control group 1, where districts were to receive additional funding in an amount intended to be equivalent to the RBF districts had to be used for the delivery of maternal and child health-related interventions and could not be used for salaries; and control group 2, the “business-as-usual” model. Health facilities in 10 of the 11 RBF districts were evaluated against 10 control group 1 districts, while 10 other districts served as a second control (business as usual). Qualitative research on cost-effectiveness, HRH, and process evaluation complemented the IE. This session will focus on presenting the results of the impact evaluation and provide an overview of some of the key messages and policy implications of the work.

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Meeting number: 739 286 609
Meeting Password: April26
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Toll #:  1-650-479-3207 (US/Canada)
Access code: 739 286 609

Coffee and light snacks will be served.


Michele Gragnolati, Practice Manager, Health, Nutrition and Population Global Practice, The World Bank Group


Jed Friedman, Senior Economist, The World Bank Group

Jed Friedman is a senior economist in the World Bank’s Development Research Group (Poverty Team). His research interests include the measurement of poverty dynamics and the interactions between poverty and health. Jed is currently the principal investigator for impact evaluations on: the effectiveness of malaria control programs in India and Nigeria; Results Based Financing reforms in Kyrgyzstan, Zambia, and Zimbabwe; and conditional cash transfers in the Philippines.

Jumana Qamruddin, Senior Health Specialist, Health, Nutrition, Population Global Practice, The World Bank Group

Jumana Qamruddin is a senior health specialist with the HNP Global Practice, working primarily on projects in the Bank’s Africa region. She has over 15 years of experience in international health and development, working on a wide range of technical areas and supporting regional and global initiatives. Jumana’s growing expertise is in using open innovation processes and design thinking to develop and deliver programs, policies and services.


Patrick Mullen, Senior Health Specialist, Health, Nutrition, Population Global Practice, The World Bank Group

Patrick Mullen is a senior health specialist, currently working on projects in India and Morocco. He holds a PhD in Public health from Johns Hopkins University.


Zambia RBF Impact Evaluation Results
Zambia RBF Impact Evaluation Results