TheWorldofInitiatives-RBFHomepageRBFHealth举措-世界的RBFRBF健康主页

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1、StocktakingofResults-BasedFinancing(RBF)ExperiencesintheWorldBankLoganBrenzel,HDNHEJuly8,2009QuestionstobeAddressedbytheStocktakingReviewWhatpolicyorhealthsystemissueswereRBFmechanismstryingtoaddressincountries?Whatisthescale,scopeandtypesofRBFmechanismsthathavebeensupportedbytheW

2、orldBankacrossregions?WhoarethebeneficiariesofRBFmechanismsandtowhatextentaretheneedsofthepoorbeingaddressed?WhattypeoflendinginstrumentshasbeenusedandwhatisthelevelofWorldBanklendingforRBF?WhatweresomeofthedesignfeaturesoftheRBFmechanisms?Whathasbeentheexperiencewithmonitoringande

3、valuatingRBFmechanisms?Whatresultshavebeenachievedintheseprojects?WhathavebeenthechallengesinthedesignandimplementationofRBFmechanisms?Whatarethelessonslearnedfromthereviewofprojects,andwhataretheprospectsforsustainability?WhataresomerecommendationsforthewayforwardfortheWorldBankon

4、RBF?2MethodsReviewoftheportfolio(BoardapprovalFY1995-2008)Healthsectorperformanceastheprimarytheme(code67)Reviewof260activeandclosedprojectsProjectportalsourceofinformationDeskreviewofPIDs,PADs,ICRs,otherdocumentsSomefollow-upwithTTLsQuickreviewtotriagethetotalsampleMoredetailedrev

5、iewofprojectsanddataentryintospreadsheetsforcomparisonusingTable1tocategorizeRBFactivitiesLimitations:ProjectdocumentsareintentionsandreviewislimitedtowhatisinthosedocumentsICRsreflectothers’opinionsandestimatesofresultsReviewedsimilardocumentsacrossprojectsbutdidnotdrilldownintode

6、tailsofindividualprojectsHealthSystemsPerformancethemewillnotcaptureallactivitiesinthisarea(conservativeestimates)3DefinitionofRBFforHealthUsedintheReviewRBFforhealthisacashpaymentornon-monetarytransfermadetoanationalorsub-nationalgovernment,manager,provider,payer,orconsumerofhealt

7、hservicesafterpredefinedresultshavebeenattainedandverified.Paymentisconditionalonmeasureableactionsbeingundertaken.4CategoriesofRBFActivities(Table1)RecipientsRBFMechanismBehaviorChangeNationalGovernmentTransferofaportionoftheloanorgrantonthebasisofverifiedachievementofhealthtarget

8、sfromasetofpre-specifiedin