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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	
  
2	
  
A.  Brief	
  overview	
  of	
  DSF	
  
Conditional Cash Transfers (CCT) Vouchers Health Insurance
3	
  
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;
4	
  
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
6	
  
24%
phone ownership
C.	
  Case	
  study:	
  Mobile	
  Money	
  for	
  DSF	
  (and	
  SSF)	
  	
  
What is it and
how does it work?
7	
  
C.	
  Case	
  study:	
  Mobile	
  Money	
  for	
  DSF	
  (and	
  SSF)	
  	
  
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
8	
  
C.	
  Case	
  study:	
  Mobile	
  Money	
  for	
  DSF	
  (and	
  SSF)	
  	
  
How does the claims processing work?
Marie Stopes Madagascar FP voucher programme
MM kiosk
9	
  
C.	
  Case	
  study:	
  Mobile	
  Money	
  for	
  DSF	
  (and	
  SSF)	
  	
  
Results:
•  29% of vouchers distributed reimbursed via
MM;
•  35% of claims reimbursed within 48hours;
•  Increased financial and administrative
efficiency;
Marie Stopes Madagascar FP voucher programme
10	
  
C.	
  Case	
  study:	
  Mobile	
  Money	
  for	
  DSF	
  (and	
  SSF)	
  	
  
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.
Marie Stopes Madagascar FP voucher programme
11	
  
C.	
  Case	
  study:	
  Mobile	
  Money	
  for	
  DSF	
  (and	
  SSF)	
  	
  
Some considerations for mobile money:
Liquidity (Mozambique) Policy (Bihar, India) Phone ownership (Pakistan)
12	
  
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!	
  	
  
14
Thank	
  you!	
  

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

  • 1. 4. New technologies for Demand Side RBF
  • 2. A.  Brief overview of DSF B.  Case study: eVouchers in Ethiopia C.  Case study: Mobile Money for DSF (and SSF) Outline  of  the  session   2  
  • 3. A.  Brief  overview  of  DSF   Conditional Cash Transfers (CCT) Vouchers Health Insurance 3  
  • 4. 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; 4  
  • 5. 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  
  • 6. 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 6   24% phone ownership
  • 7. C.  Case  study:  Mobile  Money  for  DSF  (and  SSF)     What is it and how does it work? 7  
  • 8. C.  Case  study:  Mobile  Money  for  DSF  (and  SSF)     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 8  
  • 9. C.  Case  study:  Mobile  Money  for  DSF  (and  SSF)     How does the claims processing work? Marie Stopes Madagascar FP voucher programme MM kiosk 9  
  • 10. C.  Case  study:  Mobile  Money  for  DSF  (and  SSF)     Results: •  29% of vouchers distributed reimbursed via MM; •  35% of claims reimbursed within 48hours; •  Increased financial and administrative efficiency; Marie Stopes Madagascar FP voucher programme 10  
  • 11. C.  Case  study:  Mobile  Money  for  DSF  (and  SSF)     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. Marie Stopes Madagascar FP voucher programme 11  
  • 12. C.  Case  study:  Mobile  Money  for  DSF  (and  SSF)     Some considerations for mobile money: Liquidity (Mozambique) Policy (Bihar, India) Phone ownership (Pakistan) 12  
  • 13. 5.  Take  away  messages  
  • 14. 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!     14