1
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Key elements of successful RBF programs
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Political commitment, government ownership, buy-in of stakeholders
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Clearly defined rules, understanding of indicators; accountability, verification of indicators
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Measuring and evaluation
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Design of program, piloting and testing; participatory approach
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Flexibility in implementation; communication, transparency, sustainability
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2
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Areas of health for which RBF traditionally used
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Maternal and child health; MDGs 4 and 5
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Health service delivery, primary care, quantity and quality of services
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3
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Potential use of RBF for NCDs
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Application of RBF to any service delivery
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Incentivizing preventive and health promotion activities; national, institutional, and individual levels
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Part of package of essential health services; combining efforts for communicable and non-communicable diseases
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4
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Challenges in taking a RBF approach
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Variation in capacity of donor agency representatives
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Use of RBF as panacea, depletion of resources; unintended consequences
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Insufficient ownership and accountability; corruption
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Technical assistance-intensive to establish new/sustainable systems
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Complexity of RBF; significant time for design and implementation
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Skepticism about RBF mechanisms
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5
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Potential for US involvement with RBF for NCDs
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Collect best practices from RBF; assess epidemiological situation
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Engage stakeholders; take participatory approach
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Pilot programs to test applicability of RBF for NCDs; increase funding for NCDs
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Include NCDs as part of package of essential health services; avoid dichotomy between communicable and non-communicable diseases |