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; rationalizing the utilization 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.