The Maternal and Child Nutrition and Health Results Project (MCNHRP) of The Gambia uses Results-Based Financing (RBF) to directly address challenges linked to maternal and child nutrition and health, including sanitation and hygiene. The MCNHRP uniquely combines a supply-side performance-based financing (PBF) mechanism with a community-based RBF mechanism, fostering stronger links between communities and health facilities. Its innovativeness further stems from the specific nature of its demand-side financing approach: the community-based RBF scheme in The Gambia implies contracting communities to create demand – rather than contracting households as is typically done in demand-side RBF interventions around the world. This approach strengthens social cohesion and community ownership in as well as creates an enabling environment for social and behavioral change particularly among women, thereby laying the foundations for the sustainability of results.
This article provides a description of the complementarity nature of the supply-side PBF scheme and the community-based RBF scheme implemented in The Gambia, particularly highlighting their specific features, including nutrition, Social and Behavioral Change Communication and the use of existing structures.