Mozambique

Start: 2011
Phase: Pilot PBF programs started in 2 provinces in 2011
Coverage Estimate: 10%
Feasibility: 62%
Supported by: USAID; EGPAF; Abt Assoc

Description:  EGPAF started PBF based on the Rwanda model in January 2011. The main aim was to address: MOH capacity to respond to health needs, improve responsiveness of the HC System by improving autonomy and improve equity of health care service geographic distribution. The pilot was implemented in Gaza and Nampula Provinces and involved 52 health centers and hospitals. In 2012, CHASS started in PBF in two other districts, in Manica province.

There are a number of challenges in the PBF design in Mozambique and the feasibility score is 62%:

  • No complete autonomy (HF do not have the right to hire and fire staff);
  • PBF program should cover the full primary level and hospital packages, and not be restricted to HIV indicators;
  • The separation of functions is not complete (notably between payments and verification)
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