About Arjanne Rietsema

Even after 30 years in the field of public health, I enjoy working on its challenges. I have a pragmatic approach to strategies and programmes that contribute to improved outcomes while strengthening the health system. Interventions have to be evidence based and high impact. Quick wins deserve priority, while working on longer term solutions. Results Based Financing has proven to be a valuable tool, but not the only one!

Full Professional Proficiency
Full Professional Proficiency
Native or Bilingual Proficiency

Interests are where experts would like to focus their attention on Collectivity and try new fields.


MA Development Studies/ Major Public Policy and Administration
Institute of Social Studies
September 2000 to December 2001
The Hague
The MA from the Institute of Social Studies in The Hague introduced central concepts and distinctive features and institutional context of ‘public’ management and the interrelations of public sector agencies with other societal institutions. Second, the course addressed how policy implementation is affected by the complex nature of organisations, and by the linkages among these organisations and other societal agents in networks for public action. Sectoral and organisational processes of resource use were reviewed, as in planning, budgeting and personnel management. Third, methods for the formulation and selection of public policies, programmes and expenditures, and the roles of various groups and actors in the preparation, use and misuse of information at policy, programme and project levels were explored and compared.

Msc Mother and Child Health
Institue of Child Health
September 1996 to December 1997
The MSc from the Institute of Child Health in London focused on skills, knowledge and principles to manage effective health programmes in developing countries and resource-poor conditions, prioritising mothers and children. The programme included besides public health subjects, a management module, an exam in epidemiology, statistics and a research module.

BSc Community Nursing
February 1984 to September 1986


• Global Flagship Course on Health Systems Strengthening and Sustainable Financing
World Bank
February 2015 to February 2015
Washington DC
The Global Flagship Course on “The Challenge of Universal Health Coverage: Health System Strengthening and Sustainable Financing” is designed for participants who are engaged in the process of national health system reform in various ways: developing policies, implementing new initiatives, monitoring system performance, and giving advice to key stakeholders. The course provides practical methods for developing effective solutions to the problems that countries inevitably encounter in the reform process. While many approaches exist for analysing health systems, this course offers in depth work with one particular set of concepts—the Flagship Framework.

Tropical Nursing
Institute of Tropical Medicine
February 1984 to June 1985


Country Director
April 2011 to Present
Successfully managed the Results Based Financing (RBF) project funded by the World Bank from initial stage to national scale-up. Improvements achieved in access to and quality of health services for mothers and children. E.g. Women in RBF districts are 13.6 percentage points more likely to deliver in a facility and are 11.6 percentage points more likely to receive post-natal care within two-months of delivery as compared to those in non-RBF districts. Pilot Conditional Cash Transfers in 2 urban districts. Member of National RBF Steering Committee. Member of Technical Working Group MNCAH. Member of Technical Working Group on Financing for Universal Health Care.

Country Director
June 2007 to April 2011
Responsible for the management of a health programme supported by Cordaid, funded by Global Fund, World Bank, Netherlands Ministry of Foreign Affairs and the European Union and executed by 15 partner organizations. Member of National Health Strategy Steering Committee chaired by Ministry of Health. Member of CCM. Developed local responses to public health challenges, including emergency situations. Led large tenders for blood-banks and supplies on behalf of the Government.

Programme Officer
January 2002 to March 2007
Den Haag
Responsible for policy development (within Cordaid frame work) for support to health programmes in Tanzania (church based organisations and other NGOs). Prepared decisions on programme support, considering national and regional relevance, Cordaid policy cadres and financial analysis. Compiled quarterly monitoring reports. Accountable for the results. Advisory function to partner organisations on organisational development including programme cycle management. Initiated a shift to Results Focussed Financing in 5 Diocesan health programmes; i.e. Cordaid funding based on progress in a selected number of MNCH related indicators. Initiated support, also based on performance, to private midwives, which was new to Cordaid. Assisted health facilities in developing strategies to retain staff in remote areas. I co-facilitated a forum on HRH for Christian Health Associations together with the Capacity Project.

Health Advisor
SNV Netherlands Development Organisation
September 1998 to September 2000
Provided technical assistance to NGOs in 3 rural development programmes. Emphasis was on programme development, strategic and operational planning, M&E of (health) programmes in collaboration with community based organisations, other NGOs and local government. Compiled programme proposals for donors.

Health Advisor
SNV Netherlands Development Organisation
July 1993 to July 1996
Advised a District Health Management Team (DHMT) which was responsible for planning and implementing a comprehensive health programme in a large District with 7 health facilities. Supported the planning and design of an M&E system based on the national HMIS. Supervised implementation of the system, facilitated data analysis and planning based on the information. Initiated an inter-sectoral team at District level and 7 at Health Centre level. Trained the teams in participatory methods. Conducted community needs assessments and facilitated community planning. A major achievement was to find technical and financial support for WASH from an external donor (Irish Aid). Conducted research on maternal mortality. Based on the results we designed and implemented a “Safer Motherhood Programme”.

DOG Dienst over Grenzen
July 1989 to July 1993
Responsible for the daily management of the clinics. Curative care including deliveries. Preventive care such as under five clinics, ANC, school health and IEC campaigns on a.o. hiv/aids.

Ministry of Health
July 1987 to July 1989
Screening of newly arrived asylum seekers. Referral to appropriate health service. Treating minor illnesses. Health Education