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Results-Based Financing in Africa

Watch Guenther Fink introduce Results-Based Financing as a new tool for improving health system performance in sub-Saharan Africa.

Results-Based Financing is a new tool for improving health system performance. Its aim is to build financial incentives into health system contracts.

In sub-Saharan Africa, governments have been using Results-Based Financing (RBF) to improve their healthcare systems. Guenther Fink compares Results-Based Financing programmes in Rwanda and The Democratic Republic of the Congo. He discusses the programmes’ feasibility as well as their pros and cons.

Further reading

Humuza J, Musabyimana A, Mugeni C M, Ngabo F, Condo J U, Uwariraye P. National Diffusion of a Policy: The Experience of Rwanda with Exploiting, Extending, and Sustaining the Performance-based Financing for Better Health Outcomes (2005-2015). Research Report Rwanda. World Health Organization. The Alliance for Health Policy and Systems Research [Internet]. Available from:

Impact Evaluation on Performance-Based Financing In Haut-Katanga District, Democratic Republic Of The Congo. RBF Health; The World Bank Policy Note [Internet]. 2015 [cited 1 December 2021]: 1–44. Available from: Evaluation on PBF in Haut Katanga District – DRC.pdf

Musgrove, P. Financial and Other Rewards for Good Performance or Results: A Guided Tour of Concepts and Terms and a Short Glossary. RBF Health; Presented at The World Bank [Internet]. 2011 [cited 1 December 2021]. Available from:

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Examining African Contributions to Global Health

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