Destroyed health centre in CAR

An evaluation took place on how PBF performed during the war in the Central African Republic since March 2013. It appears that emergency NGOs should also start applying a PBF approach whereby local health facilities continue to function autonomously instead of by external managers.

A targeted free health care approach in disaster situation can be applied by increasing the subsidies for the curative PBF indicators. Yet, when economic life returns to normal, cost sharing should also return so that the health facilities can continue to operate in a sustainable fashion.

A study in May 2014 showed that this produced better results and is more cost-effective while also strengthening already existing (PBF) health systems.