Start: 2010 and 2017
Phase: Several PBF pilots were carried out by International NGOs with some success. The MOH  – with World Bank technical and financial support – started a PBF program in 2017.

Coverage: 10%

Feasibility Score: 44%

Description: The government through the Ministry of Health and Public Hygiene is testing PBF during a pilot phase in seventeen health districts during two years (2017-2019). The feasibility score of current PBF program is only 44% which is below the desired 80%. Initiatives are underway to improve the design. One of the problems is that the country has opted for a complex hybrid of obligatory health insurance and free health care initiatives that are not yet integrated into a PBF system. The consequences are the poor quality of care, poor verification of activities and frequent stock out of pharmaceutical products.

Based on the encouraging results in the pilot phase of Performance-Based Financing (PBF), the Government and the World Bank in 2018 have begun discussions for a ten-year commitment (2019-2028) in favor of the Ivorian health system for a halving of maternal mortality and a third of infant mortality by 2028. This commitment will be effective in a multi-phase program approach (MPA ) as part of the Government of Côte d’Ivoire-Partners Global Financing Facility platform.