An assessment of whether results based financing can strengthen governance and improve health outcomes in post-conflict Northern Uganda. NU Health

Authors: Health Partners International
Document Type: Policy and technical briefs
Publication Date: 2014

This technical brief presents interim research findings from the UK aid funded Northern Uganda Health (NU Health) programme. NU Health was established in 2011 as a quasi-experimental controlled trial designed to assess the costs and benefits of results-based financing relative to traditional input-based financing in delivering quality health care to vulnerable populations. The brief looks at programme performance after two years of implementation. RBF facilities averaged higher quality scores across all levels of care compared to control facilities. In addition, a clinical audit found that there was discernable improvement for some, but not all, clinical practices assessed, and that these changes were most noticeable in the RBF health facilities. The largest improvements were noted for management protocols for children under five presenting with pneumonia and diarrhoea. Hence early results generated by the programme suggest that RBF can support an increase in the delivery of quality health services to poor and vulnerable populations in post-conflict northern Uganda.

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Tags: Capacity building, Quality improvement, Access to health services, Health services, Governance, Nutrition, Accountability, Quality of care, Health sector reform, NU Health, Uganda, Results-based financing,