A PBF experience in Tanzania - Performance Based Financing
Download
Report
Transcript A PBF experience in Tanzania - Performance Based Financing
Tanzania
a
Christian Social Services
Commission (CSSC)
An Ecumenical Body of Tanzania Episcopal Conference and Christian Council of Tanzania
Performance Based Financing
PBF Rungwe Pilot Project
Tanzania 2010 – 2012
PBF Conference
14-17 February 2011 – Bujumbura-Burundi
by Sule, T.Michael- Zonal PBF Coordinator
Presentation Outline
Introduction
Over- all objective
Specific Objectives
Expected Results
Project achievement
Challenges and solutions
Way forward
Introduction
PBF Rungwe Pilot project part multi-country
Network implemented in 7 Africa countries:
Rwanda, Burundi, DRC, CAR, Cameroon,
Zambia and Tanzania
European Union (EU) supports Project via
Cordaid
3 years PBF - Pilot Project in Rungwe District
- Tanzania as a model to be replicated to other
districts at a later stage.
Focus to shift approach in health financing from
input to output based financing.
Project objectives
The overall objective
- To improve the functioning of the health sector through
an active exchange of the experiences of the PBF
approach in 7 countries
Specific objectives
- Create an international network of exchange between 7
countries
- Learning through action research
- Capacity building partners of Cordaid and other key
stakeholders (LGA, Health authorities) to manage PBF
- Promote community participation in relation to two
systems of funding(PBF and insurance) and experiment
with synergetic activities
Project expected results
- There shall be a Tanzanian Training institute
capable of giving training in PBF
- CSSC independently capable of promoting
and expanding experiences on PBF
- Harmonization of PBF approach between
church and government, through joint
development of Service Agreements in
Rungwe District
- The Voice of Customer is strengthened
Project achievement (1)
There is a Tanzanian Training institute capable of
giving training in PBF –at KCMC
- KCMC has trained 20 health care workers and
administrators on PBF theories and practices
CSSC independently capable of promoting and
expanding experiences with PBF through
- training of staff on PBF(TOT)
- PBF forum established in the district for
sharing PBF project progress, information and
experiences
Project achievement cont…(2).
Harmonization of PBF approach between church
and government, through joint development of
Service Agreements in Rungwe District
- PBF
inception meeting held between
stakeholders in Rungwe for info sharing and
project introduction
- District PBF forum at district level in place
and active by conducting biannual meetings.
- Training of 6 HFs staff on strategic planning
- Lobbying for the signing of SA between the
Council and FBO health facilities started.
Project achievement cont…. (3)
The Voice of Customer is strengthened
12 HFs have established Facility Governing
Commitees and trained on roles and
responsibilities
Community representatives trained on
strategic plan development for Health facility
Challenges & proposed solutions
Delayed process for development of SA
Proposed solution:
Continued discussion –CSSC with stakeholders
Lack of funding for the motivation of health workers
(No motivation package).
Proposed Solution:
CSSC will lobby LGA to include motivation package in
their budgetary Plans
The project covers only FBO health facilities that are
fewer compared to Government the impact might not
be significant
Proposed solution: PPP initiatives in whole district
Wayforwad
Tanzania
a
Implementation of second year PBF
Involving government facilitiesin PBF
Engaged in Action Research
Thank you for listening
Asanteni sana
Tanzania
a