Results-Based Financing (RBF) in Haiti’s Health System: Impact Evaluation Report
- RBF interventions, combined with technical assistance, improved coverage and quality of maternal and child health services.
- Significant improvements were observed in immunization coverage and nutritional status of children.
- RBF led to improvements in the availability of basic infrastructure, inputs, and equipment in health facilities.
- Health worker satisfaction improved due to RBF, particularly regarding the work environment and management.
- Technical assistance alone had mixed impacts and was not sufficient to improve the Haitian health system.
This report details the impact evaluation of the Results-Based Financing (RBF) program in Haiti's health system. The study employs a quasi-experimental design, comparing health facilities receiving RBF with technical assistance, those receiving only technical assistance, and a control group. Data was collected in 2015 (baseline) and 2019 (endline) to assess the program's impact on primary health care outcomes, household health expenditures, and the overall functioning of the Haitian health system. The evaluation considers various factors, including governance, quality of services, human resources, and the use of reproductive and child health services, while also acknowledging the challenging economic and security context in Haiti during the study period.
How to cite
World Bank, 2022, Results-Based Financing (RBF) in Haiti’s Health System: Impact Evaluation Report, accessed via HaitiDocs, https://www.haitidocs.org/doc/wb-2022-results-based-financing-rbf