Annual Results and Impact Evaluation Workshop for RBF - Day Five - New Technologies for Demand-Side RBF

4. New technologies for Demand Side RBF

A.  Brief overview of DSF

B.  Case study: eVouchers in Ethiopia

C.  Case study: Mobile Money for DSF (and SSF)

Outline of the session

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A.   Brief overview of DSF

Conditional Cash Transfers (CCT) Vouchers Health Insurance

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B. Case study: eVouchers in Ethiopia

•  MSI Ethiopia started in 2012 a voucher programme for FP (IUD);

•  Targeted towards poor and marginalised young people (15-29 years);

•  Piloted in 5 towns and scaled up to an additional 20 towns (over 18,000 eVouchers issued);

•  Aims are to reduce management cost and simplify monitoring;

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Dutch Government (donor)

Management Agency (MSI)

Targeted clients

Service provider (health facili@es)

SMS voucher code

Shows voucher code ③

Delivers services

Verifies voucher validity

Payment

Submits SMS claims form

①

② ④

⑤

⑥

⑦

B. Case study: eVouchers in Ethiopia

B. Case study: eVouchers in Ethiopia Results and challenges

46%

•  Many were poor •  Increased administrative efficiency.

redemption rate (8,278/18,095 vouchers)

92% were 15-29 years old

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24% phone ownership

C. Case study: Mobile Money for DSF (and SSF)

What is it and how does it work?

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Why mobile money (MM)?

•  Very limited access to banks and

twice as many MM kiosks in early 2011;

•  Transport cost, risk of fraud and

security risks linked to cash payments;

Marie Stopes Madagascar FP voucher programme

MM kiosk

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How does the claims processing work?


MM kiosk

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Results:

•  29% of vouchers distributed reimbursed via MM;

•  35% of claims reimbursed within 48hours;

•  Increased financial and administrative efficiency;


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Challenges, limitations and lessons learned:

•  Issues with some MM operators in the country; •  Automated payments limit risk of fraud and data entry errors; •  SMS claims should be short and easy to type and sent via a

toll-free number.


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Some considerations for mobile money:

Liquidity (Mozambique) Policy (Bihar, India) Phone ownership (Pakistan)

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5. Take away messages

Vote for the two most important take away messages!

1.   Technology will play a key role in future RBF systems 2.   Technology can help reach the poorest and improve

coverage 3.   Technology is essen@al for transparency and good

governance 4.   Technology can improve efficiency and reduce

implementa@on cost of RBF 5.   New technology is aPrac@ve but beware of the

hype: do not underes@mate the cost, complexity and burden!

6.   Argen@nian wine is excellent!

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Thank you!

Healthcare

Annual Results and Impact Evaluation Workshop for RBF - Day Five - New Technologies for Demand-Side RBF