The 44th PBF course finished the 13th of March 2015 in Douala.

There were 47 participants of which 14 from the Central African Republic and 33 from Cameroon. All participants passed the final test and there were 9 distinctions which implies a score of 90% or more. There were nine education sector participants from the Central African Republic.

The main recommendations of the course participants were the following:

• There is an urgent need to strengthen the PBF Unit in the Ministry of Health in Yaounde. They require to cement PBF in Cameroon by coordinating the different RBF programs such as PBF, voucher, value for results. The Unit should equally defend the PBF best practices and transform input budget lines into performance based financing budget lines. They should also monitor and verify the achievements and the performance payments of the regional CDV agencies.
• Assure the installation of robust contract development and verification (CDV) agencies. This requires setting clear terms of reference for a well-remunarated CDV staff with the autonomy to implement their tasks and without interferon from different input strategies;
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  Limbe beach

  Revisit the community PBF indicators and assure that only qualified health workers conduct curative patient care;

• Start the HGOPY tertiary hospital PBF program in all its departments;
• Conduct research on how to integrate the voucher system in the overall PBF health package indicators and thereby to reduce the administrative costs of the classical voucher system;
• Start as soon as possible the World Bank supported PBF program in 4 regions of the Central African Republic and change the current emergency general free health care policy into a targeted free health care for the vulnerable.
• Further strengthen the education PBF program in Central African Republic which considerably increase the money injections in the schools to assure quality and change the different input financing modalities of partners into results based performance payments.