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Linked to CGD’s wider work on results-based aid including Development Impact Bonds, our global health team examines the evidence of tying funding to specific health outcomes. How does it compare to traditional methods of paying to provide a specific number of interventions?
Every year, more than 5 million women, children and adolescents die from preventable conditions, due to a significant financing gap for healthcare for women, children and adolescents, and inadequate incentives for provision and use of quality health services, among other factors. The Global Financing Facility (GFF) in support of Every Woman Every Child is a new approach to sustainable global health financing that is supporting countries’ approaches to financing and investing in the health of their people.
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 donors and national governments in health. Uniquely, the event brought together country governments, external funders, intermediaries, and evaluators—from different stages of the program—to discuss motivations, results, issues, and lessons learned.
In collaboration with the Salud Mesoamerica Initiative (SMI), CGD is pleased to invite you to a two-day conference highlighting lessons learned from SMI and how SMI’s experience can inform other programs in the future of healthcare. CGD has worked on results-based financing for years. From analyzing performance-based incentives to exploring cash on delivery aid to improving value for money for the Global Fund and its partners, we have been examining ways to maximize the impact of funding on health outcomes. We now have rigorous evaluations and evidence from SMI, a large-scale results-based funding program. This model public-private partnership allocates funding at the national level based on measurable improvements in coverage and quality of reproductive, maternal, newborn, and child healthcare. It has brought together international donors, a development bank, regional bodies, national governments, and local stakeholders in an innovative partnership that rewards for health system strengthening and increased equity.
Since 2004, the Government of Argentina has run an innovative results-based financing program --Plan Nacer--aimed at providing basic health insurance to two million uninsured pregnant women and children, while creating incentives to provinces and health service providers to expand coverage of key services at a standard of quality. The program, supported in part by the World Bank, was accompanied by a rigorous impact evaluation that sought to establish whether results-based incentives made a difference for the utilization and quality of services, and for health status of beneficiary children and women. At this CGD event, the panelists will set out key features of the program, report on new results from the impact evaluation and reflect on the program’s relevance in the context of efforts to experiment with result-based incentives to improve health and health services around the world.