Sierra Leone

Start: 2011
Phase: Started a ‘PBF light’ program in April 2011
Coverage Estimate: 100% primary level
Feasibility: Good
Supported by: MOH/MOF; USAID; WB

Description: Third country to scale up a PBF approach. Very active team from MOH and USAID promotes PBF. However, start without a pilot phase is a point of concern as well as the simultaneous introduction of Free Health Care. Some concerns related to insufficient output budget, insufficient TA and insufficient separation of functions.

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