This section features publications produced by the World Bank, which are related to results-based financing.

Linking Results to Performance: Evidence from a Results-Based Financing Pre-Pilot Project in Katete District, Zambia

This case study reviews the design and implementation of the Katete RBF Pre-Pilot and explores its impact on access and utilization of MCH services and health systems strengthening. The research team used a mixed-methods approach, collecting qualitative and quantitative data through semi-structured interviews, group discussions, document reviews and financial and health service delivery databases. Changes in performance indicators were estimated using an interrupted time series analysis complemented by a simulated modeling analysis.

Global interest in results-based financing as a means of strengthening health systems and improving service delivery coincides with heavy Zambian investment in its health sector—but with poor maternal and child health (MCH) outcomes. Determined to remedy the situation, Zambia pre-piloted an RBF project in Katete district aimed at testing how RBF can be adapted to the country context and its suitability in strengthening the health system and improving service delivery.