Publication:
Verification of Performance in Results-Based Financing : The Case of Community and Demand-Side RBF in Rwanda

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dc.contributor.authorRenaud, Adrien
dc.contributor.authorSemasaka, Jean-Paul
dc.date.accessioned2014-12-18T17:22:00Z
dc.date.available2014-12-18T17:22:00Z
dc.date.issued2014-06
dc.description.abstractRwanda, led by its Ministry of Health, was the first African country to implement Performance- Based Financing (PBF) nationwide in its health centers and hospitals. The country then went on to pilot RBF interventions at the community level. Rewarding community members who provide and use Maternal and Child Health (MCH) services is an innovative form of Results-Based Financing (RBF). The supply-side of this community PBF scheme focuses on cooperatives of Community Health Workers (CHWs). It pays them to provide selected MCH services and rewards them for the quality of their reporting as well as for good management. Conversely, the demand-side of this community PBF scheme provides women with in-kind incentives when they utilize three selected MCH services in health centers. Verifying the performance of these interventions is an integral part of RBF program implementation. This case study aims to describe the verification mechanisms used in Rwanda, which include monthly verification of the quantity of services provided by the CHWs, quarterly assessment of the quality of the functioning of the CHW cooperatives (including its reporting), verification of the quantity of in-kind incentives distributed in a less systematic way, as well as counter-verification of these three verification processes. This paper presents results of these verification methods, and discusses the obstacles faced, the way they were addressed, and the challenges that are still ahead. This case study is part of a broader analysis, involving multiple country case examples. It endeavors to expand knowledge about verification processes and practices and to address the design and implementation needs of RBF programs.en
dc.description.abstractLe Rwanda, mené par son Ministère de la Santé, a été le premier pays africain à implémenter le Financement basé sur la Performance (PBF) dans ses centres de santé et dans ses hôpitaux et cela, à l’échelle nationale. Le pays a ensuite piloté le Financement Basé sur les Résultats (FBR) au niveau communautaire. Récompenser les membres de la communauté qui fournissent et utilisent les services de Santé Maternelle et Infantile (SMI) représente une forme novatrice de FBR. Le côté de l’offre de ce FBP communautaire se concentre sur des coopératives d’Agents de Santé Communautaire (ASC). Il les paie pour la prestation de services de SMI et les récompense pour la qualité de leur rapportage ainsi que pour leur bonne gestion. En outre, le côté de la demande de ce programme de FBP communautaire fournit des incitations en nature aux femmes lorsqu’elles utilisent trois services prédéfinis de SMI dans les centres de santé. Vérifier la performance de ces interventions fait partie intégrante de la mise en œuvre du FBR. Cette étude de cas vise à décrire les mécanismes utilisés au Rwanda, incluant une vérification mensuelle de la quantité des services prestés par les ASC, une évaluation qualitative trimestrielle du fonctionnement des coopératives (y compris le rapportage), une vérification moins systématique de la quantité des incitations en nature distribuées ainsi qu’une contre-vérification de ces trois processus. Ce document présente les résultats obtenus par ces méthodes de vérification et traite des obstacles rencontrés, de la manière dont ils ont été surmontés et, des défis qu’il reste à relever.fr
dc.identifierhttp://documents.worldbank.org/curated/en/2014/06/20324931/verification-performance-results-based-financing-rbf-case-community-demand-side-rbf-rwanda
dc.identifier.doi10.1596/20791
dc.identifier.urihttps://hdl.handle.net/10986/20791
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHNP discussion paper;
dc.rightsCC BY 3.0 IGO
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectADMINISTRATIVE COSTS
dc.subjectADMINISTRATIVE SYSTEM
dc.subjectANTENATAL CARE
dc.subjectBUSINESS PLAN
dc.subjectCAPACITY BUILDING
dc.subjectCHILD HEALTH
dc.subjectCOMMUNITIES
dc.subjectCOMMUNITY ACTIVITIES
dc.subjectCOMMUNITY HEALTH
dc.subjectCOMMUNITY HEALTH SERVICES
dc.subjectCONTRACEPTIVES
dc.subjectCOOPERATIVES
dc.subjectCOUNSELING
dc.subjectDEATHS
dc.subjectDECENTRALIZATION
dc.subjectDESCRIPTION
dc.subjectDISTRICTS
dc.subjectE-MAIL
dc.subjectENVIRONMENTAL HEALTH
dc.subjectFAMILY PLANNING
dc.subjectFINANCIAL RESOURCES
dc.subjectFRAUD
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE PROVIDER
dc.subjectHEALTH CENTERS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH MANAGEMENT
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROMOTION
dc.subjectHEALTH RESULTS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SPECIALIST
dc.subjectHEALTH STRATEGY
dc.subjectHEALTH SYSTEM
dc.subjectHOSPITALS
dc.subjectHOUSEHOLDS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCES
dc.subjectIDENTIFICATION NUMBERS
dc.subjectIMAGE
dc.subjectINCOME
dc.subjectINFORMATION SYSTEM
dc.subjectINHABITANTS
dc.subjectINNOVATION
dc.subjectINTEGRATION
dc.subjectINTERVENTION
dc.subjectINTERVENTIONS
dc.subjectLIFE EXPECTANCY
dc.subjectMATERIAL
dc.subjectMORTALITY
dc.subjectNGOS
dc.subjectNONGOVERNMENTAL ORGANIZATIONS
dc.subjectNUTRITION
dc.subjectNUTRITIONAL STATUS
dc.subjectONLINE DATABASE
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPAYMENT SYSTEM
dc.subjectPERFORMANCES
dc.subjectPERSONAL HYGIENE
dc.subjectPHYSICAL PRESENCE
dc.subjectPOSTNATAL CARE
dc.subjectPREGNANCY
dc.subjectPREGNANT WOMEN
dc.subjectPUBLIC HEALTH
dc.subjectQUALITY OF HEALTH
dc.subjectREGISTRIES
dc.subjectREGISTRY
dc.subjectRELIABILITY
dc.subjectRESULT
dc.subjectRESULTS
dc.subjectSTANDARD FORMAT
dc.subjectSUPERVISION
dc.subjectTARGETS
dc.subjectTECHNICAL ASSISTANCE
dc.subjectTELEPHONE
dc.subjectTRANSMISSION
dc.subjectTUBERCULOSIS
dc.subjectUNDER-FIVE MORTALITY
dc.subjectUSER
dc.subjectUSERS
dc.subjectUSES
dc.subjectVERIFICATION
dc.subjectVERIFICATIONS
dc.subjectVILLAGE LEVEL
dc.subjectVILLAGES
dc.subjectWEB
dc.subjectWORKERS
dc.titleVerification of Performance in Results-Based Financing : The Case of Community and Demand-Side RBF in Rwandaen
dc.titleVérification de la performance dans le cadre du financement basé sur les resultats : Le cas du FBR communautaire et du FBR du côté de la demande au Rwanda fr
dc.title.alternativeVerification de la performance dans le cadre du financement base sur les resultats : le cas du FBR communautaire et du FBR du cote de la demande au Rwandafr
dspace.entity.typePublication
okr.date.disclosure2014-10-27
okr.date.doiregistration2025-05-05T11:53:09.380228Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2014/06/20324931/verification-performance-results-based-financing-rbf-case-community-demand-side-rbf-rwanda
okr.globalpracticeHealth, Nutrition, and Population
okr.guid756831467992012190
okr.guid218381468094182339
okr.identifier.externaldocumentum000333037_20141027052750
okr.identifier.internaldocumentum20324931
okr.identifier.report91772
okr.language.supporteden
okr.language.supportedfr
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/10/27/000333037_20141027052750/Rendered/PDF/917720WP0Verif00Box385343B00PUBLIC0.pdfen
okr.pdfurlhttp://documents.worldbank.org/curated/en/756831467992012190/pdf/91772-FRENCH-WP-PUBLIC-Box391432B-VerificationRwandaFrenchFINAL.pdffr
okr.region.administrativeAfrica
okr.region.countryRwanda
okr.topicHealth Monitoring and Evaluation
okr.topicPrivate Sector Development::E-Business
okr.topicHousing and Human Habitats
okr.topicRural Development Knowledge and Information Systems
okr.topicHealth Systems Development and Reform
okr.topicRural Development
okr.topicCommunities and Human Settlements
okr.topicHealth, Nutrition and Population
okr.txturlhttp://documents.worldbank.org/curated/en/756831467992012190/text/91772-FRENCH-WP-PUBLIC-Box391432B-VerificationRwandaFrenchFINAL.txtfr
okr.unitHealth, Nutrition, and Population (HNP) Family of the World Bank's Human Development Network (HDN)
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