Start: 2018
Phase: Pilot stage with $ 20 million for the period 2018-2023
Coverage Estimate: Pilot in two municipalities in two provinces
Feasibility: Low, according to standard PBF feasibility score
Supported by: MOH; WB

Description:

Health services indicators in Angola do not compare favourably with what could be expected given an annual per capita income of $3640. This is due to several technical, allocative, and administrative inefficiencies. Moreover, the reduced oil price has impaired tax revenues and reduced government health expenditure. Out-of-pocket health expenditure more than doubled from $28.6 in 2012 to $65.2 in 2015 (World Bank database). In 2018, the government agreed with the Bank to provide a $110 million loan to improve health services, with a particular focus on quality.

Yet, the largest proportion of this loan is meant for input budget lines, while $20 million is reserved to pilot the PBF reforms at the provincial and municipal level. This is a positive development, but the design, according to the standard feasibility score assessment, seems low.