Skip to main content

Table 3 Common themes from semi-structured interviews

From: Exploring the potential for using results-based financing to address non-communicable diseases in low- and middle-income countries

1

Key elements of successful RBF programs

Political commitment, government ownership, buy-in of stakeholders

  

Clearly defined rules, understanding of indicators; accountability, verification of indicators

  

Measuring and evaluation

  

Design of program, piloting and testing; participatory approach

  

Flexibility in implementation; communication, transparency, sustainability

2

Areas of health for which RBF traditionally used

Maternal and child health; MDGs 4 and 5

  

Health service delivery, primary care, quantity and quality of services

3

Potential use of RBF for NCDs

Application of RBF to any service delivery

  

Incentivizing preventive and health promotion activities; national, institutional, and individual levels

  

Part of package of essential health services; combining efforts for communicable and non-communicable diseases

4

Challenges in taking a RBF approach

Variation in capacity of donor agency representatives

  

Use of RBF as panacea, depletion of resources; unintended consequences

  

Insufficient ownership and accountability; corruption

  

Technical assistance-intensive to establish new/sustainable systems

  

Complexity of RBF; significant time for design and implementation

  

Skepticism about RBF mechanisms

5

Potential for US involvement with RBF for NCDs

Collect best practices from RBF; assess epidemiological situation

  

Engage stakeholders; take participatory approach

  

Pilot programs to test applicability of RBF for NCDs; increase funding for NCDs

  

Include NCDs as part of package of essential health services; avoid dichotomy between communicable and non-communicable diseases