Fondazione Corti – Result Based Management (Uganda)

The project ‘Result Based Financing, un motore di cambiamento per i servizi pediatrici” implemented by Fondazione Corti aims to contribute to strengthening the health system of Northern Uganda, promoting innovative instruments for the effective management of maternal, child and pediatric health services for the population of the Acholi region.

Therefore the specific objectives identified are:

1. Ensuring better access to effective medical care to the most vulnerable population groups in Northern Uganda, focusing in particular on child health as a driver for local development
2. Improve the quality and effectiveness of pediatric health services and increase the empowerment of healthcare personnel, thanks to adherence to quality standards and monitoring of performance in the management of services
3. Promote innovative models of health management in development settings, able to improve the quality, effectiveness and sustainability of health services.

In order to achieve these objectives, the following results should be reached:

1. Provide effective and quality medical care to children in the districts of Gulu, Amuru and Agago who need hospitalization in the pediatric departments of Lacor Hospital and Kalongo Hospital
2. Increased the quality of service in the pediatric departments of the two hospitals and enhanced the skills, motivation and sense of belonging of the health staff, through the introduction of specific quality standards and a Result Based Financing mechanism
3. Validated and promoted the Result Based Financing model as an on-the-job training tool and as an engine to improve access to health care and quality of health services in contexts of high health, social and economic vulnerability.

Main activities

The purpose of the contract is to define the study of the management model introduced, in order to produce evidence in terms of value added in the quality and economic sustainability of the services provided.The proposed model, in fact, proposes the activation of virtuous mechanisms linked to the introduction of a lever(Result Based Financing) not only modifies the donor-implementer ratio (increasing theresponsibility of the latter) but launches internal processes (commitment, behavior) more orientedefficient use of resources based on the number of people cared for and quality of service.
To meet these objectives, the external evaluating body will therefore have to guarantee:

• Support to project partners for the completion of a project “theory of change”, with the aim of highlighting and agreeing the individual priority processes of change (mechanisms).
• The development of a monitoring system, able to systematically detect specific information related to the measurement of these mechanisms.
• The implementation of two independent evaluation exercises (including the creation of two written reports):
  • One in the first year with the aim of testing the validity of the monitoring system during the initial implementation phase and, if necessary, identifying any corrective and / or integrative forms; •
  • One in the final phase with the aim of evaluating the efficiency of the implementation system adopted and the implementation of the model (actual implementation, impacts, sustainability, lessons learned, possible scalability).