About Us
Welcome to the Results-Based Financing (RBF) Indicator Compendium for Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCAH) initiatives.
This site provides a list of indicators that may be used in the design and implementation of RBF programs that provide incentives to healthcare providers for good performance. You may also find indicators that will be useful for the monitoring and evaluation of an RBF program.
The compendium was developed as a dynamic site, to be updated as needed to reflect new knowledge and practice, as the science of RBF evolves.
Funded by the United States Agency for International Development (USAID), this web-based indicator compendium was developed by MEASURE Evaluation, RBF Health, the Salud Mesoamérica Initiative, the Translating Research Into Action (TRAction) Project, and RBF for health communities of practice (see below) in an effort to identify and consolidate existing indicator resources. Similar to the Family Planning and Reproductive Health Indicators Database, the compendium can be used by a variety of funding agencies, governments, and NGOs worldwide, though its primary intended audiences include USAID missions, implementing partners, and host governments using RBF initiatives to improve reproductive, maternal, newborn, child, and adolescent health programs.
Navigation
The RBF Indicator Compendium is organized into four collections: (1) structural; (2) quality of services; (3) service use and intervention coverage; and (4) health outcomes and impact.
Each indicator listed in the compendium is a hyperlink to a reference sheet, which provides the definition and measurement requirements to assist you in the operationalization of the indicator. Links to other websites and resources regarding RBF projects are also provided in the reference sheets.
To find indicators, navigate to the toolbar at the top and view indicators by collection. Selecting a collection will display a list of those indicators. Selecting "Search" on the toolbar and entering one or more keywords provides another search mechanism.
Compendium Partners
The USAID-funded MEASURE Evaluation project in Phase IV has a mandate to strengthen health systems in low-resource settings. Strong health systems are able to gather, interpret, and use data to maximize health program impact. Strong health information systems are a crucial element in overall health systems and, therefore, a critical factor in achieving better health for people. MEASURE Evaluation has worked in this arena for over 20 years, assisting countries in the systematic collection and analysis of evidence about health program performance and impact. Our work builds in-country capacity and accountability for moving toward the key global priorities of an AIDS-free generation and ending preventable child and maternal deaths (EPCMD).
RBF Health
The Health Results Innovation Trust Fund (HRITF)—administered by The World Bank and supported by the Governments of Norway, through NORAD, and the United Kingdom, through the Department for International Development (DFID)—supports results-based financing (RBF) approaches in over 30 countries across the world, in an effort to improve access to and quality of health services for women, children, and adolescents.
The RBF Health website describes the HRITF portfolio, providing detailed information about RBF-funded country projects, grants, and evaluations supported, as well as links to useful toolkits and publications that offer further guidance on and experiences in the design, implementation, and evaluation of RBF programs in low- and middle-income countries.
- Rewarding Provider Performance to Enable a Healthy Start to Life Evidence from Argentina’s Plan Nacer (2014)
- A Series of Snapshots of Experiences in Verifying Performance Linked to Financial Incentives for Results-Based Financing (RBF) Programs from Selected Countries (2010)
- Identifying Indicators for Performance-Based Contracting (PBC) is Key: The Case of Liberia (2010)
Salud Mesoamérica 2015 Initiative
The Salud Mesoamérica Initiative is an innovative regional public-private partnership between the Bill & Melinda Gates Foundation, the Carlos Slim Health Institute (ICSS), the Government of Spain, and the Inter-American Development Bank (IDB), and seeks to reduce the health equity gap for the poorest 20 percent of the population in Mesoamérica. As the implementing agency, the IDB designs projects jointly with ministries of health, which, in turn, allocate counterpart resources to support achievement of health-related goals according to priorities established by the countries in the region. Through investments in projects with proven effectiveness, the initiative supports human resources and information systems strengthening, while expanding coverage and increasing the quality and use of the basic public health services within priority areas that include reproductive, maternal, neonatal and child health, nutrition, and immunization.
The Initiative’s website offers valuable tools and lessons learned, with links to surveys, reports, manuals, and other publications that describe the collective insights of The Salud Mesoamérica Initiative, its partners, and country teams, including their innovative use of an RBF model with multi-level systematic processes to guide program operations, service management and verification of results, in support of shared learning, continued development, rigorous evaluation, and progress towards addressing challenges and achieving key health outcomes.
USAID TRAction Project
Funded by the United States Agency for International Development (USAID), the Translating Research Into Action (TRAction) Project is an implementation research initiative focused on maternal, newborn, and child health (MNCH) as well as general health systems research. TRAction aims to provide critically needed evidence to program implementers and policymakers on how to implement new and proven health interventions at scale and across different contexts. Among its supported projects, TRAction has played a significant role in assessing the efforts of performance-based incentives (PBI) to improve quality of MNCH care in developing countries, advancing the dialogue around opportunities and challenges for performance measurement and research, and igniting collaboration across multiple partners and agencies.
The TRAction website offers links to several useful materials, including briefs, case studies, evaluations, and other documents derived from workshops, symposiums, and country projects worldwide. Among these key resources are links to two important tools developed by TRAction partner Thinkwell Global. The first tool is a Multi-Country Quality of Care Landscape Analysis Database of literature on quality of care in PBI programs. The second tool is a Multi-Country Quality Checklist Database that lists quality-of-care indicators used in the PBI programs and is organized by type of indicator, technical area, and system level.
- Quality of Care in Performance-Based Incentives Programs: Mozambique Case Study (2016)
- Quality of Care in Performance-Based Incentives Programs: Nigeria Case Study (2016)
- Quality of Care in Performance-Based Incentives Programs: Democratic Republic of the Congo Case Study (2016)
RBF for Health Communities of Practice
Several communities of practice for RBF have been established in an effort to engage and connect experts in the field, and create a space to encourage learning and communication among RBF practitioners. These communities of practice support the sharing of knowledge, ideas, and expertise as well as the identification of best practices and information gaps, and often involve blogs for membership, exchange, and discussion. Here are some examples:
http://www.bluesquare.org/blog
