In 2018 the Gavi Evaluation Unit commissioned an independent review of Gavi’s Performance Based Funding (PBF) component of Gavi’s Health System Strengthening (HSS) support to countries. This review was conducted by Duke University between April and September 2018.
The objectives of the review were to:
The review of Gavi’s PBF uses an evaluation framework based on four dimensions: (i) PBF design, (ii) implementation, (iii) results (ability to earn reward payments, motivational aspects of the reward, changes in coverage and equity), and (iv) lessons learned. The evaluation was based on key informant interviews with the Gavi secretariat, Gavi’s partners, and country level stakeholders; review of relevant written materials; analysis of financial data on eligibility, performance payments, and disbursements; a benchmarking exercise to compare Gavi’s PBF approach with that of the Global Fund and the Mesoamerican Health Initiative; review of the key literature on PBF and results-based financing (RBF) for health improvement in low- and middle-income countries to establish criteria for assessing the design of Gavi’s PBF; and five country deep dives (Burundi, Ethiopia, Lao PDR, Sudan, and Tanzania).
1At the time of writing this report, 18 countries were on Gavi’s fragility list; since then, Nigeria and Ethiopia have been removed.
Review of Gavi’s Performance-Based Funding (PBF) Component of its Health System Strengthening (HSS) Support
Annex 4 Review of Gavi's PBF component - Countries Deep-dives
EAC assessment - Performance-Based Funding Evaluation (Agenda item 7), 16-17 October 2018