In multiple countries, the program Health Results-Based Financing (HRBF) seeks impact by rewarding outcomes such as child vaccination, attendance at antenatal clinics, and child health check-ups. Rewards, whether in cash or in-kind, might be given to the health center or to the mothers.

With impact evaluations for HRBF programs conducted in many countries, Sistemas Integrales was asked to develop standardized tools: questionnaires and other instruments, data management and the organization of fieldwork. In Benin, for example, the data were entered in the field as they were collected. Each data-entry operator had a computer with a modem. As the data were entered, they were transmitted to a centralized supervisor using tools available for free on the internet.

To improve standardization and enhance data quality, Sistemas Integrales participated in annual workshops that brought together representatives of all the countries where an HRBF Impact Evaluation was underway or in preparation.