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Working Paper

Qualitative Research to Enhance the Evaluation of Results-Based Financing Programmes : The Promise and the Reality

SKILLS WASTE GOOD PRACTICE DISCUSSION COMMUNICATION PROTOCOLS COMMUNITIES RISKS FOCUS GROUP WORKFORCE AWARENESS INFORMED CONSENT PERSONALITY UNITS OF ANALYSIS FEEDBACK TIME KNOWLEDGE TRANSFER PSYCHOLOGY TRAITS DATA COLLECTION COMMUNITY HEALTH CITATION INFORMATION HEALTH RESEARCH HEALTH CARE CONTENTS ADAPTIVE SYSTEMS RESEARCH CAPACITY EFFECTS HEALTH RESEARCHER HOLISTIC APPROACH THINKING LEADING CULTURAL NORMS RESEARCH INSTITUTIONS QUALITATIVE DATA COLLABORATION KNOWLEDGE COMMUNITY MEMBERS ARCHIVES COMPLEXITY DATA TECHNIQUES SPACE METHODOLOGIES IDENTITY DOCUMENT PARTNERSHIPS PATIENT PATIENTS RESEARCH METHODOLOGY INTERVENTION PROBABILITY RELATIONSHIPS SITE EXPERTS OBSERVATION CASES DOCUMENTS COMPETENCIES LEARNING INDICATORS RESEARCH STANDARDS PROCESS DATA ANALYSIS METHODS STUDY INTERVIEW PRACTICE INSIGHTS TESTING PUBLISHING METHODS USERS HIERARCHIES INTERVIEWS WORKERS RESEARCH POLICY FATIGUE SCIENCE VALIDITY DESCRIPTION BOUNDARIES HEALTH OUTCOMES QUANTITATIVE DATA PROCESSES HYGIENE RESEARCHERS PROTOCOLS SOCIAL SCIENCE DECISION-MAKING SAMPLES LOGIC COMPLEX ADAPTIVE SYSTEMS MEASUREMENT NUTRITION CONCEPTUAL FRAMEWORK WORKSHOPS ASSUMPTIONS QUALITY CONTROL RESEARCH PROJECTS RESEARCH METHODOLOGIES CASE INTERNET CONCEPT UNDERSTANDING THEORY RAW’ DATA EVALUATION HUMAN RESOURCES SAMPLING ISOLATION INTEGRATION INNOVATION SITES PROTOCOL ORGANIZATIONAL CHANGE COMMUNICATION STRATEGY EPIDEMIOLOGY CHILD HEALTH SERVICES CONCEPTS VARIETY DATABASE METHODOLOGY QUESTIONNAIRES RESEARCH STRATEGIES HEALTH INTERVENTIONS RESEARCH TECHNIQUES HEALTH SERVICES IMPLEMENTATION ENTRY INNOVATIONS NURSING STORAGE
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World Bank, Washington, DC
Africa | Europe and Central Asia | Latin America & Caribbean
2016-04-11T18:37:29Z | 2016-04-11T18:37:29Z | 2016-02

This Discussion Paper presents the approach, findings, and recommendations from a desk review of the qualitative research conducted within Results-Based Financing programmes (RBF) under the Health Results Innovations Trust Fund (HRITF). The review included 17 studies conducted in Benin, Burundi, Cameroon, DRC, Ethiopia, Haiti, Kenya, Kyrgyzstan, Nigeria, Rwanda, Tajikistan, Tanzania, Zambia, and Zimbabwe. The studies reveal a body of high quality work that is consistent with the conceptual framework of RBF schemes, supported by political will, resources, and research capacity. Strengthening the added value of qualitative inquiry in on-going and future qualitative studies may be enabled by small shifts in thinking and practice, in line with a qualitative research paradigm. First, in order to better ground research in an existing country and system specific context, some interrogation of constructs and posited relationships in the existing conceptual framework for intervention/evaluation may be required. Second, to enable more in-depth and richer data that documents working practices and relations under RBF schemes, training of local researchers should place stronger emphasis on entry to the field, gaining trust, building rapport, and sustaining a dialogue with key informants. Third, smaller, more intensive and focused studies targeting fewer sites and smaller samples - but addressing a wider range of methods and informants within the health system - are likely to yield richer data that can support the understanding of how health workers and managers are responding to schemes, and what impact schemes have on service volumes and outputs.

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