Scaling-up of results-based financing (RBF) schemes across sub-Saharan Africa has developed rapidly over the past few years. Although studies in several countries have suggested that RBF can play a role in improving service coverage, a substantial knowledge gap remains as to how various RBF interventions affect quality of care of Essential Obstetric and Newborn Care (EONC).
The Results-Based Financing for Maternal Neonatal Health (RBF4MNH) study sets to fill this gap in knowledge by providing an independent scientific assessment of both the expected and unexpected effects on quality of maternal care services of a series of RBF interventions being implemented in Malawi.
The study takes place in 33 facilities and their catchment areas in four districts in Malawi: Balaka, Dedza, Mchinji, and Ntcheu
The purpose of this study is to assess the implementation and impact of the RBF4MNH intervention on quality of care in Malawi. Research questions include:
Findings from this study will be shared with the Ministry of Health throughout the duration of the project to enable implementation adjustments and to help inform policy decisions as the program scales up. This study will also help to fill the evidence gap related to the effects of RBF on quality of care. Research in this area is currently lacking, and the findings of this study can contribute to RBF policy formation in Malawi and elsewhere.
Manuela De Allegri, University of Heidelberg