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medRxiv PreprintsInternational6 November 2026

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

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Background Uganda continues to experience a high burden of maternal and child morbidity and mortality, partly due to suboptimal utilization and quality of reproductive, maternal, newborn, and child health services. To address these challenges, the Ministry of Health of Uganda, with World Bank funding, implemented results-based financing (RBF) through the Uganda Reproductive, Maternal, and Child Health Services Improvement Project (URMCHIP) in selected districts. Although RBF has been implemented for nearly a decade, evidence on its impact on maternal and child health service indicators in Ugan
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