Start: 2011
Phase: Pilot started in 2011
Coverage Estimate: 11%
Feasibility: Moderate
Supported by: MOH, WB, AEDES, CSSI


A pilot PBF project has been implemented from 2011 to 2013 with such encouraging results that it justified the scaling up of PBF in Chad. The evaluation of the pilot showed significant improvements in the quality and utilization of health services as well as an increase in staff motivation.

Yet, it has been difficult to implement. To advance the scaling up, the course participants from Chad propose that the government should declare PBF their national reform approach. The design should be improved because the participants gave the PBF purity score of 62%, which is below the desired 80%. They also identified a number of killing assumptions that should be addressed to further increase the chance of success.

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