Paying for Results, Delivering Impact: How Outcome-Based Financing is Transforming Health and WASH in Ethiopia

Does outcome-based financing (OBF) actually deliver better results? Drawing on experience from Ethiopia, this learning brief looks at what happens when funding is tied to independently verified outcomes rather than activities. It explores where the model improved accountability, data quality, adaptability, and value for money, where it created challenges, and what donors and governments should consider before using OBF at scale.