There were 19 participants from the DRC (16), the Republic of Congo (2) and the Central African Republic (1).
The course was a success. The action plans proposed by the working groups are of a high standard. The course had relatively few participants (19), which allowed for intense exchanges between the participants and the facilitation team. This was appreciated by the participants and their satisfaction with the facilitation was 90% and their satisfaction for participation was 93%. The economics module was considered difficult by a large part of the participants. We regret that economics and health economics is not considered important in the curriculum of most health sector training institutes. We consider this to be a major challenge in making health systems more efficient. Several participants also indicated that the indices management tool module requires more time. Another wish of the participants was that it is necessary to develop a PBF course more specifically for the PBF in the administration sector.
The presence of Dr. Paul Pilipili Hangi and Dr. Claude Ntabuyantwa of the PBF Unit from Kinshasa was a great asset to share their national experiences as well as to discuss the challenges of the PBF system in the DRC.
The course produced two distinctions and the average posttest result was slightly above the scores of previous PBF courses.
Strengths and challenges of PBF in the DRC
PBF in the DRC covers 27.5 million (= 35% of the total) inhabitants with World Bank funding of US $ 390 million for the period 2015-2019, which corresponds to $ US 3.00 per person per year. There are 169 Health Districts covered by the PBF program and the PBF provinces have created CDV Agencies (Contract Development and Verification Agencies). The program supports 180 hospitals and 2,818 primary health facilities and is the largest PBF program worldwide.