Results Based Financing II: No Systems, No Scale

If we want to scale up Results Based Financing, we need to understand the minimum levels of system functionality that are necessary to achieve Universal Health Coverage.     As described in the earlier instalment of this series, Results Based Financing has emerged as a key strategy to improve health sector performance whereby monetary incentives […]

A song to increase health awareness and social issues in Mkushi, Zambia

Bumping our way down a dirt track, we glimpsed a gathering of orange t-shirts through the trees and as we stepped out of the car the air was filled with song. ‘SMAG forward twibwelela numa, SMAG forward cacine ee, Twalisalile fwebene, Twalisalile nokubomba, Twalisalile nokwenda, twalisalile nokubomela community’ ‘SMAG it forward and don’t turn back, […]

Result Based Financing Part 1: From revolutionary to routine

Once considered “revolutionary innovation,” Results Based Financing in health is rapidly moving into “routine operations.” With hundreds of millions of dollars invested in establishing its “proof of principal,” questions remain about whether and when Results Based Financing is really better than more conventional input-based health financing. This is the first of a three-part blog series […]

E-Learning: From question mark to exclamation mark

After a twenty-five-hour trip because of a re-routing thanks to the French airport strikes, it felt extra nice to land at Kano airport again. It was early in the morning and from the car I could view the sun starting to rise, shining on the acacia trees and colourfully dressed people who were starting their […]

Leaving no-one behind: focusing on women with the least social support

Current broad spectrum targeting efforts are failing to reach those who need the most support. An adaptive programming approach was employed to identify under-supported women and address the clustering of child death. The emphasis on reaching every woman and every child within the Global Strategy for Women’s, Children’s and Adolescent’s Health by 2030 is laudable. […]

Ten essential ingredients for governance reform and health system transformation

A transformation has been taking place in Northern Nigeria. Perhaps few have noticed its creeping successes; fewer mothers’ lives lost and more children living to see their sixth birthday. After all, few people know when they are part of the statistic most likely to die and even less when they become part of a decreasing […]

Why health programming and policy must respond to the reality of women’s lives

Health policies and interventions need a cross-cutting gender equality and women’s empowerment component if they are to tackle the real issues that women face.Women for Health Foundation Year Programme Student Women for Health Foundation Year Programme Student Persistent social and gender inequalities lie behind the fact that women and girls in many developing countries are […]

A training approach for community health volunteers which meets the needs of adult learners

A training approach for community health volunteers increased skilled birth attendant rates in rural Zambia by 63 percent from baseline over a two-year period. The UK aid-funded Mobilising Access to Maternal Health Services in Zambia (MAMaZ) programme, implemented between 2010 – 2013, was set up to design and test innovative approaches to reduce demand-side barriers […]

Insights from a controlled trial on results based financing

There is a growing body of experience in a range of RBF-related programmes, but there remain key gaps in the evidence including how cost-effective programme approaches can be adapted to circumstances of fragility, poor governance and weak systems, where unmet need in reproductive, maternal, newborn and child health is often greatest. With the launch of […]

The Impact of polio eradication activities on routine immunization in three northern Nigerian states

I’ve been working on immunization programs for the past 14 years, including seven years as Immunization Advisor to the Partnership for Reviving Routine Immunization in Northern Nigeria/Maternal Neonatal and Child Health Initiative (PRRINN-MNCH), a DFID [Department for International Development]-Norwegian government funded project. As part of my Distance Learning Master’s program with the London School of […]