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Impact evaluation of Zambia Health Results-Based Financing Pilot

Assessing the impact of results-based financing in health on maternal and child health access and utilization: Impact evaluation of Zambia's Health Results-Based Financing Pilot

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN14332616
Enrollment
523
Registered
2014-12-12
Start date
2012-04-01
Completion date
Unknown
Last updated
2020-08-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Maternal and child health Not Applicable

Interventions

Health facilities within RBF districts will receive incentives every quarter based on attaining: 1. Quantity (volume of services) 2. Quality (adherence to national stan

Sponsors

Health Results Innovation Trust Fund, World Bank (USA)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Health facility inclusion criteria: 1. Health centers and health posts (public and faith-based) within the selected 30 rural districts 2. Health centers and health posts contracted under RBF project 3. All public and faith-based health centers and health posts in input financing and business-as-usual districts

Exclusion criteria

Exclusion criteria: Health facility exclusion criteria: 1. Health centers and health posts outside the selected 30 rural districts 2. Private-for-profit health centers and health posts

Design outcomes

Primary

MeasureTime frame
Health utilization indicators: 1. Antenatal care 2. Institutional delivery 3. Postnatal care 4. Immunization 5. Adoption of family planning methods Household level indicators: 1. Household health-seeking behavior 2. Out-of-pocket healthcare expenditure 3. Satisfaction on the service provider

Secondary

MeasureTime frame
Health facility infrastructure indicators: 1. Drug stockout rates 2. Availability of drugs 3. Availability of equipment 4. Updated records Quality of care indicators: 1. Counseling and client interaction 2. Waiting time 3. Physical examination Equity indicators: 1. Utilization of health care and quality of care indicators vis-à-vis clients' socio-economic and residence status Health worker indicators: 1. Health worker training status 2. Knowledge 3. Motivation 4. Job satisfaction

Countries

Zambia

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026