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From 5 until 17 July, Cordaid organized the eighth Performance Based Financing course in Lusaka, Zambia. This course was the first one in English and was organized together with the University of Zambia (UNZA). The course book can be downloaded on these links: Remarks on the course by Gyuri Fritsche, World Bank: Nowhere else can one appreciate the width and the depth of thePerformance-Based Financing phenomenon than in a PBF course thrown byRobert Soeters from Sina-Health, in collaboration with Cordaid, aDutch-based international charity. 35 participants from 5 countries(Zambia; Cameroon; Tanzania, Ethiopia and the Netherlands) attended the course.The course is densely packed with a wide array of knowledge: startingwith a sweep of the theories underlying Robert’s approach...
Many of Cordaid's health care partners are working with performance based financing (PBF) systems. In order to increase knowledge about PBF and to share lessons learned, Cordaid established a network of organisations working in 7 countries in sub-Saharan Africa. The network is funded by the European Union. This website contains general information about the PBF network (proposals, guidelines, reports) for partners in the network. In the course of the project, Health Development Peformance (HDP) will create a website containing more detailed information about PBF, upcoming events, important publications, discussions etc. www.cordaidpartners.... Au sein du réseau de Cordaid, beaucoup de partenaires de soins de santé travaillent avec les systèmes de financement basé sur la perfo...
On the basis of Cordaid's experience in several African PBF programmes, some "best practices" were formulated. You can find these lessons in the document underneath.
In 2009, CORDAID evaluated its Performance Based Financing programmes in 5 countries. The evaluation was performed by the Royal Tropical Institute in the Netherlands. The main objective was the identification of lessons learned. The final report of the evaluation is now available.You can download a soft copy of the evaluation report and more detailed information about the country studies on the links underneath.Overall conclusions: Lessons from sub-Saharan AfricaTanzania EvaluationZambia EvaluationEvaluation AASS Kananga (Congo) www.kitpublishers.nl...
La République Démocratique du Congo, qui a souscrit aux soins de santé primaire et à la charte Africaine de développement, retient l’approche contractuelle comme option stratégique du ministère de la santé encourageant l’achat des prestations basé sur la performance et la qualité des services. Cette vision mise en œuvre dans le contexte de la stratégie de renforcement du système de santé (SRSS) rencontre l’attention d’un bon nombre de partenaires dont le Programme Santé du 9ème FED (Fonds Européen de Développement). Les trois objectifs spécifiques du programme santé 9e FED sont (i) la rationalisation et l’augmentation du financement du système de santé, (ii) l’amélioration de l’accessibilité financière des soins ainsi que (iii) l’amélioration de la performance et de la qualité...
From 22 February until 24 the Multi Country PBF Network was launched in Kigali. This short video was broadcasted by Rwanda Television News. http://www.youtube.com/watch?v=IAqSlrpv7ds
From 13 until 17 October 2008 HDP (Health Development and Performance, Rwanda), CSSC (Christian Social Service Committee, Tanzania) and CORDAID organized a workshop on Performance Based Financing in Kigali (Rwanda). The objective was to exhange experiences with Performance Based Fianancing in Zambia, Tanzania and Rwanda. You can download the report on the exchange visit underneath.
In 2009, CORDAID evaluated its Performance Based Financing programmes in 5 countries. The evaluation was performed by the Royal Tropical Institute in the Netherlands. The main objective was the identification of lessons learned. Please find the literature study underneath. The final synthesis report (including the results from the five countries) will follow later.
In 2009, CORDAID evaluated its Performance Based Financing programmes in 5 countries. The evaluation was performed by the Royal Tropical Institute in the Netherlands. The main objective was the identification of lessons learned. Please find the country report for Zambia underneath. The final synthesis report (including the results of the other countries and the literature study) will follow later.
In 2009, CORDAID evaluated its Performance Based Financing programmes in 5 countries. The evaluation was performed by the Royal Tropical Institute in the Netherlands. The main objective was the identification of lessons learned. Please find the country report for Tanzania underneath. The final synthesis report (including the results of the other countries and the literature study) will follow later.
In this report, the introduction of Flat Rates in six hospitals in Tanzania is evaluated. The flat rates were implemented as part of the performance based fianncing programme.
CORDAID a exécuté au Burundi un program pilote d’achat de performance ou Financement Basé sur la Performance (PBF) dans le cadre duquel des contrats sont établis avec les structures de santé et les associations locales des Provinces de Cankuzo et Bubanza (population de 500.000). Ce program a effectué une étude de base (2006) et une étude d’evaluation (2008), établi selon un montage expérimental scientifique, en comparaissant les résultats avec deux provinces témoins ; Karuzi et Makamba. Il ressort que concernant des 27 indicateurs étudiés, 22 sont en faveur du PBF. Cette étude a influencée positivement le gouvernement Burundais d’adopter le PBF comme politique nationale. Il en ressort aussi que le PBF est faisable dans des états fragiles. Une analyse critique a été également f...
This power point presentation summarizes the most important lessons learnt from the recent evaluation of Performance Based Financing Projects in Tanzania, Zambia, Rwanda, Congo and Burundi.
The following document is the final report of the Performance Based Financing workshop was organized by CHAZ in conjunction with Cordaid on 8TH – 10TH of July 2009, in Lusaka. The objective of the workshop was to achieve a critical mass for the gradual introduction of Performance Based Financing in selected areas in Zambia. At the end of the workshop, participant were expected to have understood a. The concept and key characteristics of PBF and how it fits into the national health policy in Zambiab. How PBF can be applied in the district health contextc. Participants will have made some concrete suggestions on how to re-model the on-going P4P project towards a sustainable PBF mechanism.
CORDAID a exécuté au Sud Kivu en RDC un projet pilote d’achat de performance ou Financement Basé sur la Performance (PBF) dans le cadre duquel des contrats sont établis avec les structures de santé et les associations locales des Zones de Santé de Katana et d’Idjwi (population de 321.000). Ce programme était basé sur une étude de base réalisé en 2005 suivi par une deuxième étude en 2008 selon un montage scientifique semi-expérimental, en comparaissant les résultats PBF avec un financement traditionnelle input orienté vers la gratuité dans deux autres Zones de Santé; Kabare et Kalehe. L’étude montre que le projet pilot a produit plus de résultats à moindre coût et ainsi un coût-efficacité supérieur dans l’ordre de 3-5 fois. L’étude montre aussi qu’un système autonome de distri...
CORDAID implemented a performance based financing (PBF) pilot project in South Kivu Province in the Democratic Republic of Congo. In this project, contracts were signed with health facilities and local community groups. The program serves a total population of 321.000 in Katana and Idjwi health districts. In 2005 a baseline study was done, followed by a second study in 2008 comparing the results of PBF with a traditional “free health care” input financing system in two other districts: Kabare and Kalehe. The study shows that the PBF intervention is 3 - 5 times more efficient and that a demand based drug distribution system with competition for customers among selected essential drugs distributors is more effective than drug distribution through monopolistic channels.
Health Development Performance (Rwanda) and the Royal tropical Institute in Amsterdam have just published a book on the experienses with the implementation of PBF at operational level. More information and a link to download the publication can be found here.