Effect of results-based financing on selected maternal and child health indicators in Mayuge District, Uganda: a comparative interrupted time series analysis

Results-based financing in Mayuge District, Uganda increased births by 1.67 per month and modern family planning uptake by 34.1 women per month in intervention facilities versus controls.

• Why it matters: Uganda’s maternal and child health burden remains high, and evidence on whether results-based financing improves service indicators in specific Ugandan districts is limited.
• What they did: The study used a multiple-group interrupted time-series design, comparing four intervention and three non-intervention facilities across pre (July 2018–June 2019), intervention (July 2019–June 2021), and post (July 2021–June 2023) periods.
• The result: After RBF ended, facility-based births and modern family planning clients declined in intervention facilities; outpatient under-five visits slightly decreased by -0.24 children per month.

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