Start: 2012, scaled up in 2015 to 3.6 million inhabitants
Phase: A USAID funded P4P project started in April 2012 in 3 districts followed by World Bank financing in 2015 towards 6 regions
Feasibility: 64% (The score was done by Senegal team in Cotonou December 2018)
Supported by: Ministry of Health, World Bank, USAID


A P4P USAID supported project started with a pilot phase in 2012 in two regions and aimed to improve the quality of care, efficiency, equity and affordability of the population, but also health governance and the motivation of staff.

The results of the 2012 and 2013 national reviews were considered satisfactory and the Ministry of Health, therefore, decided to move from project to program with gradual scaling up. As of 2015, the strategy has grown from two to six regions for a total population of 3.6 million with World Bank financing. The three-year FBR budget is 22.3 million dollars or 11.15 billion CFA francs. The duration of the program was 3 years but with the extension of the World Bank’s Health and Nutrition Financing (PFSN) project of one year, the RBF will continue until June 2019. Notwithstanding the progress made, the implementation of the FBR approach still faces both structural and operational challenges.

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