Mothers in Zimbabwe


The Health Results Innovation Trust Fund.


Re-imagining Results-Based Financing

December 2016: New evidence emerging from Impact Evaluations

With a broad array of RBF interventions, new evidence emerging from Impact Evaluations and strong experience on the ground, the end of the calendar year is a good time to re-imagine RBF and gear-up for the future.

Explore the Health Results Innovation Trust Fund Learning Portfolio for completed Impact Evaluations and Emerging Lessons.

November 2016: Setting a path for Improved Health Outcomes: Early Evidence from Operations and Impact Evaluations

A Satellite Session entitled “Setting a path for Improved Health Outcomes: Early Evidence from Operations and Impact Evaluations” was organized on 14 November 2016 during the Global Symposium on Health Systems Research held in Vancouver, Canada. This session considered the evidence available thus far in the context of community Results-Based Financing (RBF) and in the context of the quality of care. Specifically, it reviewed in-country community RBF experiences, shedding light on successes achieved, challenges faced and lessons learned. Conversely, it explored operational, qualitative and impact evaluation evidence generated on the quality of care, examining the opportunities and challenges presented by new measurement and implementation methods developed to improve the quality of care received by patients.
Global Symposium on Health Systems Research

September 2016: Annual Results and Impact Evaluation Workshop for Results-Based Financing

The sixth Annual Results and Impact Evaluation Workshop for Results-Based Financing was held in Harare, Zimbabwe from September 18 to September 23 2016. Hosted by the Government of Zimbabwe, it assembled 130 RBF practitioners implementing HRITF-funded RBF programs and impact evaluations in 26 countries – from Argentina to the Kyrgyz Republic to Zimbabwe. This global learning opportunity focused primarily on building/strengthening RBF capacity and knowledge to further improve RBF design, implementation and evaluation – also leveraging the timely availability of impact evaluation results and qualitative data. Overview of the RBF Workshop

July 2016: Scaling up efforts in reproductive, maternal, neonatal, child and adolescent health

Building on the experience and management capacity of the Health Results Innovation Trust Fund (HRITF), the Global Financing Facility’s (GFF) Trust Fund supports countries in accelerating progress in RMNCAH, notably through the provision of results-focused financing. The GFF continues with the approach adopted by the HRITF: it links grant funding with financing from the International Development Association (IDA) and from the International Bank for Reconstruction and Development (IBRD); and maintains a strong focus on knowledge and learning. The small team managing the HRITF at the World Bank has been expanded to reflect the GFF, its new governance structure, its extended country portfolio, and its wider partnerships. The GFF Secretariat manages GFF Trust Fund resources, provides overall technical assistance and quality control as well as monitors results. Just like the HRITF, the GFF mobilizes the expertise of the entire World Bank Group, including the International Finance Corporation (IFC) – the World Bank Group’s private sector arm.


A New Era for Development Finance

July 2015: Global Financing Facility Launched at the Third International Financing for Development Conference

The United Nations, the World Bank Group, and the Governments of Canada, Norway and the United States joined country and global health leaders to launch the Global Financing Facility in support of Every Woman Every Child. The GFF Trust Fund builds on the experience and management capacity of the HRITF in providing results-focused financing to support countries to achieve results for reproductive, maternal, newborn, child and adolescent health (RMNCAH).


A Boost for RBF Programs

September 2014: Donors Support Creation of Global Financing Facility To Advance Women’s And Children’s Health

The World Bank Group and Governments of Canada, Norway, and the United States announce that they will jumpstart the creation of the Global Financing Facility (GFF) to advance women’s and children’s health. The GFF will build on the experience, capacity and strong track record of the Health Results Innovative Trust Fund (HRITF).

September 2014: New Evidence Shows Transformational Impact of RBF

HRITF reports new evidence from RBF programs worldwide, highlighting transformational change in maternal, newborn and child health services. Results show that using an RBF approach has dramatically lowered the probability of in-hospital neonatal mortality in Argentina; doubled the utilization of modern contraception in Nigeria; and increased the likelihood of Zimbabwe women delivering in a facility and seeking post-natal care.

July 2014: 36 Country Pilot Grants Approved, Feature Diverse RBF Approaches

HRITF reports that, more and more, countries are including community and/or demand-side components in their programs. By July 1, 2014, 36 Country Pilot Grants have been approved by HRITF in the total amount of $404.4 million from HRITF, linked to $1.9 billion from IDA (including projects approved in previous financial years. An additional two Country Pilot Grants are in the pipeline, totaling $15 million from HRITF, which is linked to $500 million from IDA. The Knowledge and Learning program includes 30 grants for a total of $5.7 million. The Impact Evaluation portfolio consists of 33 Impact Evaluations and other evaluation activities for a total of $55 million.

June 2014: : E-Learning Course Pilot Successful

As part of the ongoing effort to make RBF knowledge and learning more accessible to practitioners around the world, an RBF E-Learning course is piloted. The course aims to equip participants with the specific knowledge and tools needed to work on RBF in countries where health system strengthening and poverty-reduction strategies are being implemented. 75 participants receive a certificate of completion for the pilot course.

April 2014: Performance-Based Financing Toolkit Launches

The Performance-Based Financing (PBF) Toolkit successfully launches, in response to the rapid expansion of this supply-side intervention in health systems, particularly in Africa. The Toolkit contains the experiential knowledge of PBF pioneers. The book and its companion online portal aim to answer the most pressing issues related to supply-side RBF programs—the most common approach in the HRITF portfolio.

March 2014: 155 Attend Annual Results and Impact Evaluation Workshop in Argentina

The Annual Results and Impact Evaluation Workshop for RBF takes place in Buenos Aires, Argentina. There are 155 participants from 29 countries, who are either already implementing RBF programs or still at the design stage. The eight-day itinerary includes 30 sessions and field trips to Argentina’s Plan Nacer health facilities.


Funding and Partnerships to Improve Maternal and Child Health through RBF

December 2013: World Bank, Global Fund Boost Financing for Maternal, Child Health

The World Bank and the Global Fund to Fight AIDS, Tuberculosis and Malaria announce a partnership to expand access to essential health services for women and children through RBF, and to accelerate progress on MDGs.

September 2013: $700m to Improve Women and Children’s Health in Poor Countries

World Bank Group President Jim Yong Kim announces that the Bank Group projects at least $700 million in financing through the end of 2015 to help developing countries reach the MDGs for women and children’s health. The announcement comes on top of a September 2010 World Bank pledge to provide $600 million in IDA results-based financing for MDGs 4 and 5 by 2015.

July 2013: 29 Country Pilot Grants Approved

By July 1, HRITF has approved 29 Country Pilot Grants. Together, these total $324.4 million from HRITF, linked to $1.7 billion from IDA (including projects approved in previous years). This increase is coupled with diversification of the types of RBF programs implemented. HRITF reports that more programs now focus on demand-side incentives, RBF at the hospital level, and the inclusion of the community in program design or monitoring. The CPG portfolio grows by 40 percent, compared to March 2012. The Knowledge and Learning program includes 27 grants for a total of $5.24 million. The Impact Evaluation portfolio consists of 28 Impact Evaluations and other evaluation activities.


RBF A Change Agent

November 2012: More than 80 Attend Annual Results and Impact Evaluation Workshop in Turkey

HRITF hosts the fourth Annual Results and Impact Evaluation Workshop in Istanbul, Turkey, which aims to build capacity in World Bank staff, government counterparts, and other local partners from 14 country teams. More than 80 participants attended and received targeted training from international experts on key design and implementation issues of impact evaluation and on the use of operational data.

October 2012: Impact Evaluation Toolkit Website Goes LIVE

The Impact Evaluation Toolkit website launches and aims to respond to the needs of country teams working on evaluations of the impact of RBF. The toolkit contains technical advice and the collective knowledge of teams, shared in the form of best practice guidelines for each stage of an impact evaluation. It includes more than 70 tools, which can be downloaded and customized.

July 2012: 17 Country Pilot Grants Approved

By July 1, HRITF has approved 17 Country Pilot Grants in the total amount of $174 million from HRITF, linked to $1.2 billion from IDA. The Knowledge and Learning program includes 25 grants for a total of $4.99 million. The Impact Evaluation portfolio consists of 18 Impact Evaluations and other evaluation activities.

January 2012: Program-for-Results Launches

On January 24, the World Bank’s Program-for-Results (P4R) launches, showing that emerging lessons from RBF programs are proving to be instrumental in informing Bank-wide initiatives. The new financing instrument for the Bank’s client countries links the disbursement of funds directly to the delivery of defined results. Money will flow once the results have been delivered and verified.


RBF in High Demand

October 2011: More than 100 Attend Annual Impact Evaluation Workshop in Thailand

Bangkok, Thailand is host to the Third Annual Impact Evaluation Workshop on RBF for Health. Approximately 113 government and local research counterparts from 18 countries, development agency partners, World Bank teams, and IE Principal Investigators attend. For the first time, the agenda also focuses on improving RBF implementation and design, next to impact evaluations.

April 2011: At Spring Meetings Symposium, Participants Discuss: Can RBF Help Achieve MDGs and More?

On April 15, during the World Bank-IMF Spring Meetings, 130 delegates representing more than 15 countries attend a day-long symposium, “Results-Based Financing for Health: Can it Help Achieve the MDGs and More?” They discuss how to apply RBF approaches for health and how RBF approaches can be scaled up to help developing countries strengthen their health systems and achieve the health MDGs.

March 2011: Demand for RBF for Health Grows Significantly

The HRITF reports that, of 57 proposals submitted, 38 totaling US$80 million have been approved. This approved total includes regional Knowledge and Learning Grants, which support 29 countries; seven grants under the funding stream supporting evaluations; and seven Country Pilot Grants. The number of proposals submitted suggests a significant demand from country clients and teams for RBF for health.


More Opportunities for RBF Learning, Knowledge Sharing

October 2010: More than 80 Attend Annual Impact Evaluation Workshop in Tunisia

The Annual Impact Evaluation Workshop takes place in Tunis, Tunisia and is jointly held by the World Bank’s Human Development Network, the HRITF team, the Bank’s Spanish Impact Evaluation Fund team, the World Bank Institute, and the African Development Bank. The learning event attracts more than 80 participants and focuses on implementation.

March 2010: Progress on RBF Projects Advances

HRITF reports that seven of the nine HRITF-funded RBF projects continue to advance; specifically, projects in Afghanistan, Benin, Democratic Republic of Congo (DRC), Ghana, Rwanda, Zambia and Zimbabwe. RBF project disbursements have begun with the provision of US$4 million to support Rwanda.

February 2010: Performance-Based Financing Community of Practice Formally Launches

The Africa Region, through a regional trust fund financed by the HRITF, is implementing an extensive set of RBF activities, including knowledge sharing. The region supports the launch of the PBF Community of Practice (CoP) during a CoP workshop in Bujumbura, where 40 participants discuss technical implementation issues and lessons learned.


Increased Donor Support for RBF

December 2009: HRITF Receives More Support from Donors

The Government of Norway increases its original commitment of US$104 million to US$368 million. The United Kingdom commits US$190 million to HRITF in 2010. These commitments, totaling US$454 million in installments from 2009-2022, would increase the HRITF to US$558 million.

December 2009: 40 Attend Workshop in Cape Town, South Africa

The RBF Impact Evaluation Expert Network co-sponsors a regional workshop in Cape Town, South Africa. It combines intensive training in Impact Evaluation methods and hands-on clinics to further develop RBF pilot countries’ IEs. The 40 participants in attendance represent seven RBF country teams.

July 2009: Online Platform for Sharing RBF Knowledge Launches

The RBF Health website launches to serve as a global knowledge and learning platform on RBF. The website begins to emerge as a resource for the growing RBF community, offering a library of key knowledge and learning products. The website includes an RBF Glossary, created with the input of diverse of stakeholders, RBF implementers and academics, who are consultants in coming to a common understanding of RBF, and in helping to define it better.


Steady Start for RBF

December 2008: Countries Show Unexpectedly High Interest in RBF

HRITF reports an unexpectedly high interest in RBF from countries as nine candidates apply for Round One of RBF pilots. Another nine apply for Round Two. Out of these, five are selected for RBF pilot programs and four receive seed grants. HRITF is learning what kinds of technical assistance, tools and guidelines are most needed to strengthen the quality of RBF pilot programs. Two RBF workshops are held in Rwanda to support governments in the design and implementation of RBF interventions, and to share country experiences. Delegations from 12 countries attend the first; and representatives from seven nations participate in the second. The Impact Evaluation Expert Network also conducts its first impact evaluation workshop.

March 2008: Inter-agency Working Group on RBF Convenes

The Inter-agency Working Group, comprising development partners, holds its first meeting. The IWG serves many purposes, including providing opportunities for the Bank to share learning from countries, elicit advice from others, and work toward a better understanding of what RBF can contribute.


The Health Results Innovation Trust Fund Launches

December 2007: The World Bank Creates the Health Results Innovation Trust Fund

With the support of the Governments of Norway and the United Kingdom, the World Bank launches the multi-donor trust fund. Their contributions are linked to financing from the International Development Association (IDA), the Bank’s fund for the world’s poorest countries. HRITF supports results-based financing approaches in the health sector for the achievement of health-related MDGs, particularly MDGs 1c, 4 and 5.