Results Based Financing (RBF) models are results oriented, linking performance
indicators to incentives to motivate health workers to deliver quality care in anticipation
of rewards attached to service delivery. The study sought to explore nurses’ views and
experiences regarding the implementation of RBF in Zimbabwe with the aim of
recommending measures to strengthen the programme. The researcher used a
qualitative, exploratory and descriptive design in this study. The population of this
study comprised 21 nurses. Non-probability purposive sampling was used to select
professional nurses involved in implementing RBF in Mrewa District, Mashonaland
East Province, Zimbabwe. Data were collected through focus group discussions using
an interview guide. Three (3) focus group discussions were conducted during this
study, following a pilot study consisting of six (6) conveniently sampled nurses in
Mashonaland East Province. Interviews were tape recorded and transcribed verbatim.
Permission to proceed with this study was granted by the Ministry of Health and Child
Care and the University of South Africa. Measures to ensure credibility, dependability,
conformability and transferability were followed. Data were analysed using Creswell’s
data analysis steps. Data were transcribed and thematically analysed, and emerging
patterns were noted. The researcher examined these categories closely and
compared them for similarities and differences, identifying the most frequent or
significant codes in order to develop the main categories. These were summarised in
narrative form. Four themes emerged from data: interpretation of RBF; role of nurses in the implementation of RBF; evaluation of RBF; and strengthening implementation
of RBF.
The study revealed various interpretations of RBF that converged to definitions of RBF
in literature. Nurses viewed themselves as key and important players in the successful
implementation of RBF. The successes and challenges of RBF were presented.
Several measures that could strengthen the implementation of donor funds were
highlighted, including subsidisation of low catchment health facilities, inclusion of
district hospitals on the RBF programme, increasing financial autonomy of health
facilities and the review of procurement guidelines. The study assumed that these
measures will enhance nurses’ work experience in donor funded health care delivery,
and improve health outcomes. / Health Studies / M.P.H.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:unisa/oai:uir.unisa.ac.za:10500/25107 |
| Date | 12 1900 |
| Creators | Nyabani, Prosper |
| Contributors | Ramukumba, Mokholelana Margaret |
| Source Sets | South African National ETD Portal |
| Language | English |
| Detected Language | English |
| Type | Dissertation |
| Format | 1 online resource (xii, 97 leaves) : illustrations (some color), graphs, maps(color) |
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