PERFORMANCE BASED FINANCING EMOC

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PERFORMANCE BASED FINANCINGEMOC

• MCH Department
• MoH - Rwanda

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DEFINITION

• PBFstrategy
• Finance Health Services
• Increase Quality and Quantity
• Respect of Norms
• Buy Results

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PBF BASIC PRINCIPLES
Contract to buy care
Vendor (Health Center Hospital)
Contractor (MOH, Districts Donors)
Performance Motivation
Sale of quality of care
Increase of service to the population
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OBJECTIVES

• Access to Health Services (Geog Finance)
• Motivation/Responsibility of Staff
• Quality of Service
• Autonomy in Management of Health Facilities

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INDICATORS FOR EMOC

• Presentation of the Health Facility
• Names (hospital and health center)
• Supervisor and supervised
• Activity
• Score

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INDICATORS FOR EMOC CONTD

• ANC
• Organization/ Business Plan
• Clinical Examination
• Laboratory Tests
• VAT
• Care and Treatment

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INDICATORS FOR EMOCCONTD

• Delivery
• Organization/ Business Plan
• Direct Observations
• Equipment
• Infrastructure
• Direct Analysis/Competence
• 3rd stage
• Management of Complications
• Hygiene

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INDICATORS FOR EMOCCONTD

• Neonatal Care
• Apgar
• Umbilical cord
• Temperature
• Congenital malformations

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INDICATORS FOR EMOCCONTD

• Post-natal Care
• Clinical Examination
• Laboratory Tests
• Vit A, Mebendazole
• Care and Treatment

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REPORTS SUMMARY

• Last recommendations taken into account
• Problems identified
• Actions to be taken

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REPORTS SUMMARY CONTD

• Summary
• Activity supervised
• Points obtained
• Difference(?)
• Observations

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RESULTS
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RESULTS
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CHALLENGES

• Authenticity of Outputs
• Control system
• Remuneration Systems
• Roles and Responsibilities

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LESSONS LEARNED

• Further Exploration of the Strategy
• Better Performance
• Motivation of Personnel
• Increase Sense of Responsibility
• Importance of Control System
• Good Preparation
• Information
• Competency
• contracts

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CONCLUSIONS AND RECOMMENDATIONS

• Extension of the strategy
• Different contracts at different levels
• Community
• Health center
• Hospitals
• Referrals hospitals

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Greetings from Rwanda
RWANDA
RWANDA