New technologies for Result Based Financing Inter Agency Working Group, June 2014

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1.New technologies for RBF : where are we? Where are we going?

2.How can connected RBF data systems contribute to a better measurement of results at national and global level?

Outline9

1. Technologies used for supply side RBF

Current systems

• Nigeria• Benin• Cameroun• Burundi• Sénégal• Zambia• Chad• DRC• Laos • Lesotho• CAR

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• Rwanda• Zimbambwe • ROC• Tadjikistan• Laos

• DRC• Tanzania• Vietnam• ….

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Key features of RBF IT systemsAdministrative backbone of RBF• Data entry • Verification process (including fraud)• Payment management• Data managementStrategic purchasing • Budget follow up• Payment formula • Fee setting Reporting, benchmarking & data transparency • Sharing data • Exports

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RBF web-applications are important: Verified data – quality of care – financing - patient satisfaction

RBF management

Better heath System Management

Accountability and transparency

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Examples: 15

• Nigeria : www.nphcda.thenewtechs.com• Benin : www.beninfbr.org• Cameroun : www.fbrcameroun.org• Burundi : www.fbpsanteburundi.bi• Senegal : www.fbr.sante.gouv.sn• Zambia : www.rbfzambia.gov.zm• Chad : www.fbrtchad.org• DRC : http://cd.thenewtechs.com/• CAR: www.pbfcar.org

www.beninfbr.org

New Technologies for Demand Side RBF

Strong added value of mobile technologies for Demand Side Financing (DSF)

Conditional Cash Transfers (CCT) Vouchers Health Insurance

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Examples• E-vouchers in Ethiopia• CCT for TB in Kenya

managed by mobile devices

• Mobile money for health insurance in Mali

Added value in terms of efficiency, reliability and governance od DSF systems

What comes next? 5 trends that emerged from the ICT4 RBF CoP meeting

1. Merge OpenRBF and DHIS2 development efforts

OpenRBF and DHIS2 teams will work together for developing the best Open Source solution for RBF management.

Use the strength of DHIS2. Initial ongoing tests in Rwanda and Laos

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2. Countries shift to smart data collection

Countries used to collect information on paper forms

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Several countries are shifting data collection on mobile devices : ex. Rwanda, Malawi, DRC

Collection of large quantities of high value information (but is there capacity to handle this?)

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3. Verification and social accountability through mobiles

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4. More demand side financing (and mobile payments) coupled to supply side RBF

Build on existing RBF platforms to develop DSF and enhance coverage, equity & targeting.

Examples : Zimbambwe, Senegal, Laos, Benin,….

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5. It’s only the beginning of interconnected systems (interoperability)

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