Reengineering Pediatric Services with Results-Based Financing: Evidence from Northern Uganda

Results-based financing (RBF) in pediatric healthcare within resource-limited regions like Northern Uganda offers an innovative strategy to enhance care delivery. RBF aims to improve service quality, efficiency, and effectiveness by aligning financial incentives with desired health outcomes. Before RBF implementation, Lacor and Kalongo hospitals faced numerous challenges, including limited resources and staffing shortages. The targeted health outcomes under RBF included lowering child mortality rates, enhancing vaccination coverage, and increasing timely prenatal care visits. Empirical evidence from 2018 to 2024 demonstrates significant improvements in healthcare quality and outcomes at these hospitals. This evidence suggests that RBF models can ensure superior health outcomes when financial incentives effectively align with health goals.