Start: 2013
Phase: Started a pilot in two districts in 2014 and is going to scale
Coverage Estimate: 15%
Feasibility: Medium
Supported by: MOH/MOF; WB

Description: The project is fully operational in all six targeted districts in four waves. Following implementation in the two pilot districts since April 2014 in the case of Quthing, and January 2015 in the case of Leribe, the project was scaled up to Mokhotlong and Thaba-Tseka in July 2016, and subsequently to Mafeteng and Mohale’s Hoek in October 2016, encompassing 92 health centers and 8 district hospitals. Health centers and hospitals have signed performance contracts, opened Health Centre Committee administered bank accounts, submitted invoices, and undergone verification and counter verification processes on a quarterly basis. There is a high level of motivation at districts health centers, District Hospitals (DHs) and District Health Management Teams (DHMTs), and the concepts have been well understood.

Output results are promising.