The current outbreak of the COVID-19 virus has severe implications for health systems all over the world. This is even more true for lower and middle-income countries (LMICs), which generally have weaker health surveillance and health systems, and may, therefore, carry the heaviest burden. In recent decades, many of these countries have adopted Results Based Financing (RBF) mechanisms as part of their broader health system strengthening and health governance efforts. Such RBF programs, too, are currently under strain as a result of the pandemic. At the same time, the RBF approach, thanks to its adaptability and its systemic nature, may provide an effective framework to embed a specific COVID-19 response into broader and more sustainable system strengthening.
This document aims to make an inventory of RBF adaptations that can be considered as part of a COVID-19 response, with the dual objective of containing the spread of the virus and preserving the availability and quality of vital public health services. As an international NGO with long-standing experience in the application of RBF, especially in fragile and/or conflict-affected settings, Cordaid has seen many such adaptations work in the past. This ‘Quick Reference Guide’ was compiled by the core members of Cordaid’s Community of Experts on Results Based Financing (CoE RBF) and brings together their past experiences as well as new ideas that emerged at the onset of the current crisis.
First download button: English version of the Reference Guide
Second download button: French version of the Reference Guide