Insufficient control mechanisms has perverse consequences: fraud, cheating, neglect of certain non-contracted services; Failure to pay bonus for performance in national hospitals due to structural problems of inadequate funding, with the resulting in low staff morale Recommendations The successful implementation of the PBF and in particular the achievement of health goals in general are undoubtedly subject to the capacity of the system, while leveraging the strengths, address weaknesses, deal with challenges, prevent threats and seize and exploit opportunities. It is recommended for managers and various stakeholders to undertake strategies and concrete and prompt action on: the mobilization of additional resources to fill the financing gap; streamlining the implementation of the policy of free health care; the implementation of a reference and counter reference system ; the installation of efficient internet equipment at central and intermediate levels; Recruitment of an expert in computer programming and a network administrator; strengthening the technical platforms of health facilities; Identification of areas of responsibility of all FOSAs of the country; Review of assessment tools for the implementation of the PBF; strengthening the monitoring and evaluation of the implementation of the PBF at all levels; the involvement of members of the extended CT-PBF in the monitoring and evaluation of the implementation of the PBF at all levels; accelerating the contracting process at the central level; the integration of strategies for financing the demand for care within the overall health funding system: community assurances and health insurance; establish mechanisms for effective integration of community-based interventions in the PBF.
Insufficient control mechanisms has perverse consequences: fraud, cheating, neglect of certain non-contracted services; Failure to pay bonus for performance in national hospitals due to structural problems of inadequate funding, with the resulting in low staff morale Recommendations The successful implementation of the PBF and in particular the achievement of health goals in general are undoubtedly subject to the capacity of the system, while leveraging the strengths, address weaknesses, deal with challenges, prevent threats and seize and exploit opportunities. It is recommended for managers and various stakeholders to undertake strategies and concrete and prompt action on: the mobilization of additional resources to fill the financing gap; streamlining the implementation of the policy of free health care; the implementation of a reference and counter reference system ; the installation of efficient internet equipment at central and intermediate levels; Recruitment of an expert in computer programming and a network administrator; strengthening the technical platforms of health facilities; Identification of areas of responsibility of all FOSAs of the country; Review of assessment tools for the implementation of the PBF; strengthening the monitoring and evaluation of the implementation of the PBF at all levels; the involvement of members of the extended CT-PBF in the monitoring and evaluation of the implementation of the PBF at all levels; accelerating the contracting process at the central level; the integration of strategies for financing the demand for care within the overall health funding system: community assurances and health insurance; establish mechanisms for effective integration of community-based interventions in the PBF.
Rapport_annuel_FBP_2010_Version_Finale[1]_Translation_FR_into_EN.docx