| Engaging with Evidence | Insights from the implementation of the Living Goods results-based financing programme

For the eighteenth session of Engaging with Evidence, we explored the main findings, lessons learned and recommendations from the evaluation of the scaling up of Results Based Financing for Community Health Programme, implemented in Uganda by Living Goods. Leading experts from Living Goods, Instiglio, Government Outcomes Lab, Financing Alliance for Health, and USAID joined us.

The final results showed that the RBF programme led to measurable, scalable, and sustainable improvements in the quality of programmatic data on community health worker performance with Living Goods achieving 93% of the expected target on community health workers' productivity. The evaluation also revealed some areas of further research, including exploring ways of improving cost-effectiveness of the verification component of an RBF mechanism and investing in further research to identify suitable ways to measure and incentivise quality of service delivery in RBF mechanisms.

Session participants had the opportunity to:

• Learn about the scale-up RBF programme and hear from those directly involved in the programme as to their reflections on the lessons learned and recommendations on using RBF to improve performance in community health worker programmes,
• Engage with leading experts in the field to learn about the wider implications of using RBF to improve service delivery in community health worker programmes, and
• Deepen their understanding of when and how to use RBF as an innovative financing approach.