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This review of lessons learnt from outcomes-based delivery is based on a review of key documents, detailed analysis of operational and financial data, and interviews with over 30 key programme stakeholders undertaken by Social Finance in December 2020 and January 2021.

The review is combined of two parts, of which this report covers the second:

  1. A reflection of lessons learnt from KMC roll-out to date including recommendations for implementation at scale in Cameroon;
  2. A reflection on lessons learnt from outcomes-based programme delivery using a DIB structure.

In the first instance, we expect lessons from this second report to inform preparations for the end of the DIB by the KFC team. Many of the lessons are specific to the Cameroon context and the KFC team structure and approach in particular.

Lessons from outcomes-based delivery with broader relevance to the design and delivery of future DIBs have been included in an ‘end of project’ report released in early September 2021. The aim of that report would be to publicly share results and reflect on the potential of outcomes-based contracts to drive improvements in neonatal health in Cameroon and beyond.