Broad Branch Associates has worked with a wide range of partners, including:
- Abt Associates
- Bill and Melinda Gates Foundation
- Center for Global Development
- The GAVI Alliance
- Global FundInter-American Development Bank
- Results for Development
- World Bank
Broad Branch Associates joins Abt Associates and other partners to support Tanzania’s government at both national and local levels to promote the delivery, quality, and use of public services, particularly for underserved populations. While primarily focused on health systems, this multi-sectoral program will work closely with Local Government Authorities to promote inclusive and evidence based planning, management, and implementation of services which will have an impact beyond the health sector. The project is valued at just under $62 million and is supported by USAID. Broad Branch provides technical support on results based financing and implementation research.
Broad Branch Associates joins Jhpiego and other partners to implement the Maternal and Child Survival Program (MCSP), a global, USAID Cooperative Agreement to introduce and support high-impact health interventions with a focus on 24 high-priority countries* with the ultimate goal of ending preventable child and maternal deaths within a generation. The Program is focused on ensuring that all women, newborns and children most in need have equitable access to quality health care services to save lives. MCSP supports programming in maternal, newborn and child health, immunization, family planning and reproductive health, nutrition, health systems strengthening, water/sanitation/hygiene, malaria, prevention of mother-to-child transmission of HIV, and pediatric HIV care and treatment. Broad Branch leads performance incentives and contributes to program learning with a concentration on scaling up, equity, and health systems strengthening.
The HFG project is a five-year (2012-2017), $209 million global project funded by the U.S. Agency for International Development. Broad Branch Associates leads the project’s performance-based incentives (PBI) global, regional and country level initiatives. This includes global leadership, training, design, implementation, and evaluation of PBI schemes. Recent work focuses on incentives in supply chains, incentives and family planning, and the governance dimensions of PBI programs.
HFG currently works in 14 countries, and is led by Abt Associates, with partners Broad Branch Associates; Development Alternatives Inc. (DAI); Futures Institute; Johns Hopkins Bloomberg School of Public Health (JHSPH); Results for Development (R4D); RTI International; and Training Resources Group (TRG).
Broad Branch Associates is a partner in a five-year (2011-2016) U.S. Agency for International Development project to help strengthen health systems in Senegal.
This $22 million project, led by Abt Associates, is designed to support and expand community-based insurance, improve supply chain management, support health policy reform and improve financial planning and management. BBA is assisting the Ministry of Health in the design, implementation and evaluation of a cutting-edge performance-based financing pilot, and in its subsequent scale-up. Prior to this project, BBA was involved in the early design efforts of the pilot initiative through Health Systems 20/20 Project.
Other partners on the project include Family Health International (FHI 360) and PATH, and the Senegalese organizations Association Conseil pour l’ Action (ACA), Groupe Issa and Centre de Recherche pour le Développement Humain (CRDH).
The Government of Norway and the Government of Germany are jointly financing a three-year $10 million project to improve maternal and neonatal health in Malawi. As part of the team led by the UK-based organization Options, BBA is working with the Ministry of Health to design, implement, and assess a results-based financing program in four districts. The program includes incentives to health facilities, district health management teams, and individual clients.
MCHIP was the USAID Bureau for Global Health’s flagship maternal, neonatal and child health (MNCH) program. Awarded to Jhpiego and partners in September 2008 and completed in 2015, MCHIP worked with USAID missions, governments, nongovernmental organizations, local communities and partner agencies in developing countries to implement programs at scale for sustainable improvements in MNCH. Broad Branch Associates (BBA) led MCHIP’s health systems strengthening portfolio.
As part of our country work, we provide technical assistance to Tanzania, which launched a performance-based incentives (PBI) pilot in 2011 that provides incentives to health facilities and council health management teams conditional on attainment of targets related to the quantity and quality of MNCH services.
BBA also developed a series of papers and tools on strengthening health systems and improving the quality of maternal, neonatal and child health, and conducted a multi-country assessment of Standards-based Management and Recognition, a quality improvement approach. The assessment provided lessons from Malawi, Indonesia and Bolivia on scaling up and sustaining SBMR..
Health Systems 20/20, a six-year (2006-2012) cooperative agreement funded by the U.S. Agency for International Development (USAID), provided USAID-supported countries with assistance on governance, finance, operations, and capacity building.
Led by Abt Associates Inc., Broad Branch Associates led the project’s performance-based incentives (PBI) global, regional and country level initiatives. This included global leadership, training, design, implementation, and evaluation of PBI schemes. BBA also convened high-level meetings and workshops, including the African Regional PBI workshop held in Rwanda in June 2007, with participants from 11 countries; and the Asian Regional PBI workshop, with 14 teams from 9 countries, sponsored by USAID, AusAID, the Center for Global Development, NORAD and the Work Bank, and held in the Philippines in January 2009.
BBA led multi-country implementation research studies, including studies on family planning and performance incentives, and governance and PBI, to learn what works, strengthen programs, and inform policy. BBA also developed twelve country PBI case studies that describe the evolution of PBI programs—from initial policy buy-in to implementation and evaluation. A guide to developing a PBI blueprint, which aims to help countries design a PBI scheme, was published in 2008 and revised in 2011.
The GAVI Alliance has transformed its former support for health systems strengthening to a new performance based funding model. Broad Branch Associates has provided support to the GAVI Alliance Secretariat on how to structure and implement this new funding vehicle. The objectives of the performance based funding support to strengthen health systems are to improve routine immunization coverage and to increase equity in immunization coverage.
The Meso-American Health Initiative is an innovative public/private partnership that seeks to reduce health equity gaps in the countries in Central America and Chiapas state in Mexico. The Initiative’s goal is to back the efforts of governments to reach the health Millennium Development Goals by rewarding health results for the poorest 20 percent of the population, mainly women and children under five years of age.
Broad Branch Associates provided technical assistance to the Meso-American Health Initiative to design and operationalize an innovative results-based financing model wherein a portion of donor payment to the governments will depend on reaching targets related to the coverage and quality of health care. By linking donor-to-national government transfers to results, donors can exert influence and hold governments accountable while preserving the principle of country ownership and direct management of the health system.
In 2015, Broad Branch has conducted qualitative research with participating country and other stakeholders to understand the changes that have been set in motion and the resulting lessons.
Through the creation of TrAid+™, an open and transparent online exchange for verified development results, we hope to make funding for social impact more streamlined and transparent; to increase accountability, spark innovation and generate greater efficiency. BBA has received a grant from DFID in partnership with Results for Development and the Center for Health Market Innovations to develop TrAid+.
TrAid+ has the following key features:
- Buyers pay for results, not for inputs
- Results are expressed using a common metric (within each development sector)
- The approach for measuring the results is approved by recognized experts in the relevant field
- Results are independently verified
- All the information pertaining to the results can be easily accessed
Any buyer or implementer willing to play by the rules of the game can access the TrAid+ exchange. Potential implementers include private independent organizations or networks (for-profit or non-profit), public providers and governments. Potential buyers include the traditional donors (bilateral or multilateral), global partnerships, philanthropists, corporations, governments and individuals.
TrAid+ aims to help implementers on the ground achieve their full potential, while at the same time ensuring that funders’ money contributes to achieving the greatest social impact.