Tracking The Progress And Implications Of The Global Financing Facility (In This Case Results - Based Financing) In The Healthcare Sector In Uganda

This study was commissioned by the Center for Health, Human Rights and Development
(CEHURD), a not-for-profit research and advocacy organization in collaboration with the
Uganda Debt Network (UDN) and Wemos. The core objective was to study the progress of
the Global Financing Facility (GFF) in Uganda, which contributes to the Uganda Reproductive,
Maternal and Child Health Services Improvement Project (URMCHIP), and particularly the
implementation of the Results Based Framework (RBF) component of URMCHIP. The report is
expected to contribute towards the mission of “Upholding Governance and human rights under
GFF in the country”.

Result Based Financing (RBF) is “a cash payment or non-monetary transfer made to a
national or subnational government, manager, provider, payer or consumer of health services
after pre-defined results have been attained and verified”. It separates the key health system
functions of regulation, fund holding, purchasing, verification and service provision. The
approach is aimed at providing more outputs from the available inputs; rationalising the
utilisation of inputs; targeting specific population groups with special attention to the poor and
vulnerable; and transforming clinical practice towards improved quality of healthcare.

RBF is a component of the Uganda Reproductive, Maternal and Child Health Services Improvement
Project (URMCHIP), to which the Global Financing Facility(GFF), as well as other international
actors, are contributing. The general objective of this study was to track the progress and
implications of the GFF in the Healthcare Sector in Uganda, through the RBF component.

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