{"id":2022,"date":"2014-10-19T12:33:00","date_gmt":"2014-10-19T10:33:00","guid":{"rendered":"http:\/\/www.sina-health.com\/?p=2022"},"modified":"2014-11-29T15:27:25","modified_gmt":"2014-11-29T14:27:25","slug":"news-from-the-40th-pbf-course-in-benin","status":"publish","type":"post","link":"https:\/\/www.sina-health.com\/?p=2022","title":{"rendered":"The 40th PBF course in Benin October 8-18 2014"},"content":{"rendered":"<p><div id=\"attachment_2026\" style=\"width: 410px\" class=\"wp-caption alignright\"><a href=\"http:\/\/www.sina-health.com\/wp-content\/uploads\/Participantsb40stPBF-courseBenin-e1413715009203.jpg\"><img aria-describedby=\"caption-attachment-2026\" decoding=\"async\" loading=\"lazy\" class=\"wp-image-2026 size-full\" src=\"http:\/\/www.sina-health.com\/wp-content\/uploads\/Participantsb40stPBF-courseBenin-e1413715009203.jpg\" alt=\"Participants 40st PBF course in Benin\" width=\"400\" height=\"287\" \/><\/a><p id=\"caption-attachment-2026\" class=\"wp-caption-text\">Participants 40st PBF course in Benin<\/p><\/div><\/p>\n<p>Hereby the report (<span style=\"color: #ff0000;\"><a style=\"color: #ff0000;\" href=\"http:\/\/www.sina-health.com\/wp-content\/uploads\/RapCoursPBFCotonouV241014.pdf\">Rapport Cours PBF Cotonou V241014<\/a><\/span>) of the 40th PBF course\u00a0that\u00a0ended saturday the 18th of October in the Atlantic Beach Hotel in Cotonou. There were 34 participants (22 from Benin, 11 from Mali and 1 from Burkina Faso) and 5 facilitators. All 34 participants passed the final exam and six participants\u00a0obtained a distinction.<\/p>\n<p>The Benin group identified the<em> following problems<\/em>:\u00a0\u00a0(1) Health centers do not have sufficient management autonomy; (2)\u00a0There exists a\u00a0monopolistic system of procurement and distribution of essential drugs for government health facilities; (3) Health facilities are not allowed to recruit additional health workers even with their own (PBF) resources; (4) There is an incomplete separation of functions\u00a0at the level of health districts and departments; (5)\u00a0The PBF Program Coordination Unit (UCP)\u00a0ensures at the\u00a0same time the payment of the subsidies and recruits the Community Based Organisations (CBO), while it would be\u00a0better to decentralise the contracting role to the\u00a0Contract Development and Verification (CDV) Agencies at department level\u00a0; (6)\u00a0The Secretary-General signs all the contracts with providers and CBOs while decentralisation of this contracting function to the Departmental CDV\u00a0Agencies would be\u00a0desired.<strong>\u00a0<\/strong><\/p>\n<div id=\"attachment_2036\" style=\"width: 360px\" class=\"wp-caption alignright\"><a href=\"http:\/\/www.sina-health.com\/wp-content\/uploads\/Visit-to-health-centre-e1414057717156.jpg\"><img aria-describedby=\"caption-attachment-2036\" decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-2036\" src=\"http:\/\/www.sina-health.com\/wp-content\/uploads\/Visit-to-health-centre-e1414057717156.jpg\" alt=\"Visit to health centre\" width=\"350\" height=\"261\" \/><\/a><p id=\"caption-attachment-2036\" class=\"wp-caption-text\">Visit to health centre<\/p><\/div>\n<p><em>Recommendations\u00a0by the Benin participants: <\/em>(1)\u00a0Promote more competition among suppliers of essential drugs\u00a0and equipment and establish\u00a0an updated list of suppliers from where health facilities are allowed to buy their inputs, while ensuring the establishment of a quality assurance\u00a0system; \u00a0(2)\u00a0Lift the ban on the recruitment of staff as part of the empowerment of health facilities; (3)\u00a0Clarify the mandate and the institutional set up\u00a0in the context of the separation of functions and good governance between the providers, the\u00a0regulators, CDV agencies, payment agencies and organizations that strengthen the community voice at peripheral level.<\/p>\n<div id=\"attachment_2033\" style=\"width: 360px\" class=\"wp-caption alignright\"><a href=\"http:\/\/www.sina-health.com\/wp-content\/uploads\/Chef-de-village-et-Dr-Catraye-e1414057593730.jpg\"><img aria-describedby=\"caption-attachment-2033\" decoding=\"async\" loading=\"lazy\" class=\"wp-image-2033 size-full\" src=\"http:\/\/www.sina-health.com\/wp-content\/uploads\/Chef-de-village-et-Dr-Catraye-e1414057593730.jpg\" alt=\"Chef de village et Dr Catraye\" width=\"350\" height=\"278\" \/><\/a><p id=\"caption-attachment-2033\" class=\"wp-caption-text\">Chef de village et Dr Catraye<\/p><\/div>\n<p>The Mali group identified <em>the following problems:<\/em> (1) There is an inadequate budget for the PBF program of less than USD 3.00 per capita per year; (2) There is an insufficient number of output indicators; (3) There Is not yet a comprehensive national PBF strategy; (4) Government providers are still dependant on central procurement of medicines and inputs; (5) There is a weakness in the PBF Community program; (6) Contracts are signed by the health committee and not by the head of the health centres; (7) PBF equity indicators are not yet introduced; (8) Private sector providers are not involved.<\/p>\n<div id=\"attachment_2027\" style=\"width: 360px\" class=\"wp-caption alignright\"><a href=\"http:\/\/www.sina-health.com\/wp-content\/uploads\/Atlantic-Ocean-Beach-Early-morning-e1413715070355.jpg\"><img aria-describedby=\"caption-attachment-2027\" decoding=\"async\" loading=\"lazy\" class=\"wp-image-2027 size-full\" src=\"http:\/\/www.sina-health.com\/wp-content\/uploads\/Atlantic-Ocean-Beach-Early-morning-e1413715070355.jpg\" alt=\"Atlantic Ocean Beach Early morning\" width=\"350\" height=\"266\" \/><\/a><p id=\"caption-attachment-2027\" class=\"wp-caption-text\">Atlantic Ocean Beach Early morning<\/p><\/div>\n<p><em>Recommendations by the Mali participants:<\/em> (1) Increase the PBF budget to at least 3 dollars per capita per year; (2) Increase the number of quantity indicators to at least 20, and thereby assure that the basic and hospital packages are comprehensive; (3) Develop a national PBF strategy document; (4) Improve the autonomy of health facilities by allowing them to buy essential drugs and other inputs from approved suppliers operating in competition; (5) Develop the PBF community indicators; (6) Sign contracts between CDV Agencies and the direct health providers; (7) Include PBF equity indicators for vulnerable areas and individuals; (8) Involve private organisations in the implementation of the PBF through the mapping of private structures and (sub)contracts.<\/p>\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>Hereby the report (Rapport Cours PBF Cotonou V241014) of the 40th PBF course\u00a0that\u00a0ended saturday the 18th of October in the Atlantic Beach Hotel in Cotonou. There were 34 participants (22 from Benin, 11 from Mali and 1 from Burkina Faso) and 5 facilitators. All 34 participants passed the final exam and six participants\u00a0obtained a distinction. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.sina-health.com\/index.php?rest_route=\/wp\/v2\/posts\/2022"}],"collection":[{"href":"https:\/\/www.sina-health.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.sina-health.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.sina-health.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sina-health.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2022"}],"version-history":[{"count":19,"href":"https:\/\/www.sina-health.com\/index.php?rest_route=\/wp\/v2\/posts\/2022\/revisions"}],"predecessor-version":[{"id":2024,"href":"https:\/\/www.sina-health.com\/index.php?rest_route=\/wp\/v2\/posts\/2022\/revisions\/2024"}],"wp:attachment":[{"href":"https:\/\/www.sina-health.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2022"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.sina-health.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2022"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.sina-health.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2022"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}