Delayed PBF subsidies cause of drop in performance
By Solomon Agborem
Performance-based financing is one approach to reform the health system including reform of resource allocation mechanism that is more efficient and more effective. Health facilities receive subsidies proportional to the results achieved and periodically receive a management autonomy that allows them to quickly improve their performance.
Thus they receive cash payments in return for the amount and quality of care for populations that are verifiable and measurable such as the number of clients using family planning, the number of pregnant women receiving obstetric care and the number of severe acute malnourished children appropriately treated. The performance-based financing is also designed to provide a platform for dialogue and to allow knowledge sharing between the different stakeholders.
It is against this backdrop that Chief of Centers of Health Facilities in Limbe and Chairpersons of the eight Health Areas were invited for a one-day meeting to brainstorm on the way forward particularly the re-evaluation of Primary and Secondary contracting facilities and make adjustment based on performance basis.
The meeting which took place last Wednesday, September 7, 2016 at the Limbe Health District Service Office Down Beach was chaired by the CDVA Manager, Dr. Simo Francis.
Opening the meeting, Dr Simo said a 95% drop in performance was observed within the month of July in health facilities within the Limbe Health District. According to justifications by the Chief of Posts and chairpersons the heavy rains punctured most of their outreach programs planned for the month, particularly in Idenau where most of the catchment population are in the creeks same phenomenon in Mabeta in Bimbia Limbe III Sub-Ddivision.
To reverse the trend, the stakeholders resolve to put in more efforts to step up performance especially with the coming of the dry season.
Speaking on why the funds had delayed, a senior official of PBF in the South West said there were some minor problems in terms of financial transaction that has been resolved at the world Bank office in Yaoundé and that in no distant time, the subsidies shall be transferred as usual to the accounts of the respective health facilities working with the PBF system.
This was however assuring to the stakeholders who at the end praised the government for such partnership that has drastically improve healthcare delivery in remote areas. Chairpersons were equally drilled on their role in the facilitation of pauper identification action research.
It should be recalled that in 2009, the Ministry of Public Health in Cameroon, working in partnership with the World Bank, funded the Cameroon Health Sector Support Investment Project. The five-year US$25 million initiative was designed to support the provision of key maternal and child health services through performance-based financing.
In 2014, additional financing of US$40 million through the Health Results Innovation Trust Fund was allocated to support the introduction of PBF in the three northern regions of the country, which have the nation’s poorest health outcomes.