Starting in the financial year 2018/19, the Ministry of Health (MOH) began implementing Results-Based Financing (RBF) under the Uganda Reproductive, Maternal, and Child Health Improvement Project (URMCHIP). To operationalize RBF, the MOH introduced performance-linked payments to eligible public and private not-for-profit health facilities and hospitals, providing them additional revenue based on their service outputs and quality. The aim was to increase the utilization of selected primary health care (PHC) services. This operational research study was undertaken by the MOH to inform the development and implementation of its RBF mainstreaming strategy. The study captures insights into the implementation of RBF under URMCHIP, including;
- how RBF compared to other sources of financing for local governments and health facilities;
- how implementers planned for, managed, and accounted for RBF revenue;
- how local governments and facilities spent their RBF revenue;
- how service utilization and quality changed during RBF implementation;
- what factors contributed to the effective use of RBF income;
- and what opportunities there are to improve implementation.
For the detailed analysis, please refer to the document source link below