In order to increase the speed of the implementation of the National Health Development Plan, and reach the Millennium Development Goals, the Ministry of Health and Population has decided to implement a resource and/or performance based financing component.
The first phase of this component consists in the setting up of a financing system in three districts: Plateaux, Pool and Niari.
This phase includes setting up performance based financing system targeting health care services. The objective is to subsidize health facilities based on their performances, so that they can develop their activities, and are motivated to develop preventive services as well as services with high impact, and also are encouraged to improve financial accessibility for their patients.
For the implementation of this pilot project, a Health Service Purchasing Agency has been recruited. The management of this agency is contracted to an NGO. In order to support the Ministry of Health and Population in the implementation of the project, an external Monitoring and Evaluation agency has been as well recruited.
This External Monitoring and Evaluation Agency is in charge of measuring the performance of the health system, which includes carrying out pre and post intervention surveys, as well as routinely monitoring the National Health Information System, evaluating the work of the Health Services Purchasing Agency, and finally providing technical assistance within the sectorial approach regarding health financing.
A) Carry out household and health facilities studies.
B) Measure the evolution of the performance of the health system in the intervention area.
C) Provide advice to the Ministry of Health and Population about the implementation of PBF in the project areas within the sectorial approach.