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POLICY PAPERS
Translating Results-Based Financing from Theory to Operational Reality: Lessons from the Practical Application of RBF at the European Commission
Rachel Silverman
October 28, 2021
Results-based financing (RBF) is one of several broad approaches to finance official development assistance (ODA) “that attempt[s] to connect at least a portion of payment to the verified achievement of results.” Despite some relatively high-profile programs and pilots—and broad interest and curiosi...
Blog Post
Money Can’t Buy You “Country Ownership”
William Savedoff
October 15, 2019
Efforts to make aid more effective in the last two decades have given prominence to "country ownership." With true country ownership, aid is supposed to follow the priorities of recipient countries, rather than those of the funders. Yet funders have their priorities too. So recipients and ...
WORKING PAPERS
What Is “Country Ownership”? A Formal Exploration of the Aid Relationship
William Savedoff
October 11, 2019
This paper illustrates the tradeoff between country ownership and funders’ priorities with a formal model in which aid is governed by a contract to produce a jointly desired outcome. The model generalizes the Principal-Agent approaches for studying aid which treat countries as having multiple ...
Blog Post
The Missing Link? An Independent Fiduciary to Enable Paying for Outcomes
William Savedoff
July 26, 2019
In the world of foreign aid flows, the idea of paying for outcomes rather than inputs has a long history. Yet despite regular proclamations of interest in such approaches, the share of funding that is linked to outputs or outcomes instead of activities and processes remains quite small.
Blog Post
DIBs: Value for Money or Just an Interesting Financing Mechanism?
Cassandra Nemzoff et al.
March 26, 2019
At the end of 2018, the world had seven development impact bonds (DIBs) and more in the pipeline. Yet questions remain about the potential of DIBs—still a new financing instrument—compared to other pay-for-performance arrangements. With a dearth of standard and transparent evaluation met...
POLICY PAPERS
Development Impact Bonds Targeting Health Outcomes
Lorcan Clarke et al.
December 14, 2018
Using publicly available information, we describe all seven DIBs, and evaluate the three “health DIBs” in more detail, comparing their stakeholders, implementation, and outcome structures. We offer three recommendations to improve evaluation and inform development of DIBs in the future. ...
WORKING PAPERS
The Medium-Run and Scale-Up Effects of Performance-Based Financing: An Extension of Rwanda’s 2006 Trial Using Secondary Data - Working Paper 497
Diana Ngo
and
Sebastian Bauhoff
November 15, 2018
Rwanda’s performance-based incentives were effective for some indicators, but unconditional financing also induced improvements. The incentive effects persisted in the medium-run and as the program was scaled-up.
Blog Post
Results-Based Funding in Health: Progress in Poorest Communities in Mesoamerica
Amanda Glassman
and
Jessie Lu
March 14, 2018
Early this month, CGD co-hosted a conference with the Inter-American Development Bank (IDB), highlighting progress, challenges, and lessons learned from the first phase of the Salud Mesoamerica Initiative (SMI), a seven-year-old results-based funding (RBF) partnership between don...
Blog Post
Envisioning Pay-for-Success: Learning from an Eye Health DIB in Cameroon
Amanda Glassman
and
Roxanne Oroxom
January 29, 2018
In 2013, a CGD working group signaled important benefits of development impact bonds, and worked through some of the “how-to” of design and implementation. Yet five years later, only three development impact bonds have launched.
POLICY PAPERS
Structuring and Funding Development Impact Bonds for Health: Nine Lessons from Cameroon and Beyond
Roxanne Oroxom et al.
January 26, 2018
Despite the considerable interest in Development Impact Bonds, only a few have reached the implementation phase. We use information from stakeholder interviews to describe the design of one DIB in-depth and use lessons from a range of impact bonds to develop recommendations for potential partners to...
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