Discussion Piece Reflecting on the Recent Implementation of Programmes and Policies Supported by the World Bank in Benin, Camero
COMMUNITY-BASED RESULTS-BASED FINANCING IN HEALTH IN PRACTICE. A discussion piece reflecting on the recent implementation of programmes and policies supported by the World Bank in Benin, Cameroon, the Republic of Congo, the Democratic Republic of the Congo, The Gambia, and Rwanda Jean-Benoît Falisse, Petra Vergeer, Maud Juquois, Alphonse Akpamoli, Jacob Paul Robyn, Walters Shu, Michel Zabiti, Rifat Hasan, Bakary Jallow, Musa Loum, Cédric Ndizeye, Michel Muvudi, Baudouin Makuma Booto Joy Gebre Medhin Executive summary This report discusses Community Results-Based Financing (cRBF), a 'close to client' approach whereby community actors are paid based on the activities they undertake. The focus is on six developing cRBF experiences that have started in Cameroon, The Gambia, Benin, the Democratic Republic of the Congo (DR Congo), Rwanda, and the Republic of Congo. The report's main aim is to cast light on the success and difficulties encountered in the implementation of such a programme. The report is based on a participative process that included a short review of the existing literature on cRBF, a review of the manuals of procedures and reports produced in each country case, in-depth interviews with a focal point in five countries, and two workshops with practitioners. Do cRBF schemes work? It is too early to say: most schemes are still in their infancy. An impact evaluation of the Rwandan scheme found mixed effects. The Cameroon, Congo, and the Gambia schemes integrate rigorous impact evaluation mechanisms and the first results should be available in two to five years. At this stage, the main discussion is on the implementation of cRBF.
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