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Impact evaluation of Zimbabwe?s health results based financing project

The effects of results based financing on maternal and child health access and utilization in rural Zimbabwe: Impact Evaluation of Zimbabwe?s Health Results Based Financing Project

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN16392613
Enrollment
356
Registered
2014-12-05
Start date
2012-03-01
Completion date
Unknown
Last updated
2020-07-06

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 stand

Sponsors

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

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Health facilities within the selected 16 rural districts and matched control districts 2. Health facilities contracted under RBF project

Exclusion criteria

Exclusion criteria: 1. Health facilities outside the selected 32 rural districts 2. Health facilities not contracted under RBF project

Design outcomes

Primary

MeasureTime frame
Health utilization indicators: 1. Antenatal care 2. Institutional delivery 3. Postnatal care 4. Immunization 5. Outpatient consultations 6. Referral 7. Adoption of family planning methods 8. ARV prophylaxis Household level indicators: 1. Household health seeking behavior 2. Out-of-pocket healthcare expenditure 3. Satisfaction on the service provider These will be measured through a household survey at the end of the intervention

Secondary

MeasureTime frame
Health facility infrastructure indicators: 1. Drug stockout rates 2. Availability of drugs 3. Availability of clinical protocols 4. Availability of equipment 5. 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 These will be measured through a health facility survey at the end of the intervention

Countries

Zimbabwe

Outcome results

None listed

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