Participants 42nd PBF course

The 42nd PBF course ended in Mombasa at 12 December 2014 and hereby the report.

There were 25 participants. 14 from Nigeria, 3 from Uganda, 2 from Lesotho and Burundi and 1 from Malawi, Mozambique, Cameroon and Zambia.

21 participants were from the health sector but there was also 1 participant from the Local Government in Uganda, 1 from Civil Service Reform Commission in Malawi, 1 from the education sector in Burundi and 1 participant from the Cordaid loan section in Burundi.

The PBF journey is not always smooth

Studies published in November 2014  showed that PBF worked in Burundi. Yet, at the same time the studies also provide warnings that if the underlying best practices in PBF are not maintained that there will be no results. We learn from our colleagues in Burundi that there are still problems in the implementation of PBF with large delays in the payment of the subsidies, the essential drugs distribution system that still has monopolistic characteristics and the health facilities are less autonomous than desired.

PBF initiation of course participants

Problems in Lesotho concern the slow roll out of the project while the Uganda PBF program is still reviewing how the successful Jinja pilot can be scaled up. EGPAF Mozambique is doing well in Xai-Xai and Nampula provinces but they may need to improve its design so that it will create ownership and buy-in also from the government.

The representatives from the Local Government in Uganda and the Civil Service Reform Commission in Malawi propose to initiative new multi-sector PBF programs.