Tchad

Start: 2011
Phase: Pilot started in 2011
Coverage Estimate: 11%
Feasibility: High
Supported by: MOH, WB, AEDES, CSSI

Description: Pilot started by MOH in 4 Regions with WB financing and support from AEDES, CSSI. Pilot has 2 independent regional purchasing agents. The political sustainability is still in question. By the end of 2013 WB funding will come to an end, but the MOH promised to take over the financing. The original design contained several non PBF elements and there is a potentially negative interference by the free health care program. Yet, government may use PBF to improve on some of the free health care problems and to roll out PBF to more regions.

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