The activity is a Government of Tanzania program that incentivizes improved quality of services at participating health facilities and encourages enhanced support from regional and council health management teams. RBF is rolled out in selected regions to improve accessibility, utilization, and quality of health services through increased accountability and responsiveness. RBF is mostly implemented in public health facilities, private and faith-based agencies that carry a service level agreement with local government authorities can also participate if they meet minimum entry requirements. To ensure quality service, a verification team visits facilities on a quarterly basis and provides a quality score, which then impacts the amount of incentive payment each facility receives.