{"id":4102,"date":"2019-02-02T13:31:58","date_gmt":"2019-02-02T12:31:58","guid":{"rendered":"http:\/\/www.sina-health.com\/?p=4102"},"modified":"2019-04-19T12:12:43","modified_gmt":"2019-04-19T10:12:43","slug":"how-many-countries-and-people-benefit-from-pbf-rbf-in-2019","status":"publish","type":"post","link":"https:\/\/www.sina-health.com\/?p=4102","title":{"rendered":"How many countries and people benefit worldwide from PBF &#8211; RBF in 2019?"},"content":{"rendered":"<p><a href=\"http:\/\/www.sina-health.com\/wp-content\/uploads\/Giraffe-1-e1482851536643.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"alignright size-full wp-image-2895\" src=\"http:\/\/www.sina-health.com\/wp-content\/uploads\/Giraffe-1-e1482851536643.jpg\" alt=\"\" width=\"350\" height=\"262\" \/><\/a>This posting\u00a0describes the status of PBF, RBF or strategic purchasing (a term preferred by WHO) worldwide.<\/p>\n<p>It is possible that some information in this posting may not be correct, that it is outdated or that we excluded countries that do apply PBF or performance-type reforms.<\/p>\n<p>We would highly appreciate if those, with more information or corrections about the current situation, would drop an email \u00a0to <span style=\"color: #700000;\"><a style=\"color: #700000;\" href=\"&#x6d;&#x61;&#x69;&#108;&#116;o:&#x72;&#x6f;&#x62;&#x65;&#114;&#116;_s&#x6f;&#x65;&#x74;&#101;&#114;&#115;&#64;h&#x6f;&#x74;&#x6d;&#97;&#105;l&#46;&#x63;&#x6f;&#x6d;\">&#114;&#x6f;b&#101;&#x72;t&#95;&#x73;o&#101;&#x74;e&#114;&#x73;&#64;&#104;&#x6f;t&#109;&#x61;i&#108;&#x2e;c&#111;&#x6d;<\/a> <\/span><\/p>\n<p>Please consult the country overviews on this website\u00a0that presents the countries in alphabetical order.<\/p>\n<p>Our findings are based on the feedback from the participants to previous PBF courses and we consulted World\u00a0bank Project Appraisal\u00a0Documents of the World Bank as well as other publications available in the public domain.<\/p>\n<p><strong>Findings<\/strong><\/p>\n<ul>\n<li>In 9 countries (17%) PBF has become national policy. From those Cameroun and Burundi have the most &#8220;PBF pure&#8221; designs.<\/li>\n<\/ul>\n<p><!--more--><\/p>\n<ul>\n<li>In four countries PBF is national policy but without national coverage (DRC, CAR, Argentina and Zimbabwe).<\/li>\n<li>In 21 countries (35%) there are serious pilots or there is a process of scaling up towards\u00a0national policy or there will be a restart (Congo Brazzaville).<\/li>\n<li>In six countries (11%), PBF programs are in the process of preparation.<\/li>\n<li>In six countries (11%), there were PBF pilots or initiatives but it is <em>not clear<\/em>\u00a0(to us) what their governments\u00a0aim to do next.<\/li>\n<li>Two countries (4%) stopped their\u00a0PBF programme: Benin (in 2017) and Indonesia (in 2009). We understand that there are discussions in Benin to restart. In Indonesia, the pilot\u00a0was a small\u00a0NGO initiative that did not reach the attention of national authorities. PBF or RBF in Asian countries is currently more active in the education sector, which may encourage the health sector to follow.<\/li>\n<li>Nine South Saharan Africa\u00a0countries (17%) have not yet considered PBF type reforms of which\u00a0the largest are South Africa and Sudan and seven countries with relatively smaller populations. The absence from PBF-type reforms\u00a0in South Africa is surprising and it would be great if somebody could clarify this.<\/li>\n<\/ul>\n<p><a href=\"http:\/\/www.sina-health.com\/wp-content\/uploads\/Status-PBF-countries-230319.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"alignright size-full wp-image-4172\" src=\"http:\/\/www.sina-health.com\/wp-content\/uploads\/Status-PBF-countries-230319.jpg\" alt=\"\" width=\"1210\" height=\"358\" srcset=\"https:\/\/www.sina-health.com\/wp-content\/uploads\/Status-PBF-countries-230319.jpg 1210w, https:\/\/www.sina-health.com\/wp-content\/uploads\/Status-PBF-countries-230319-300x89.jpg 300w, https:\/\/www.sina-health.com\/wp-content\/uploads\/Status-PBF-countries-230319-768x227.jpg 768w, https:\/\/www.sina-health.com\/wp-content\/uploads\/Status-PBF-countries-230319-1024x303.jpg 1024w, https:\/\/www.sina-health.com\/wp-content\/uploads\/Status-PBF-countries-230319-624x185.jpg 624w\" sizes=\"(max-width: 1210px) 100vw, 1210px\" \/><\/a><\/p>\n<p><strong>We estimate that in 2019 there are 268 million beneficiaries to PBF or RBF schemes worldwide and that in 2019 $ 756 million has been committed to PBF.<\/strong><\/p>\n<p><strong>When did countries start PBF?<\/strong><\/p>\n<ul>\n<li>Seven countries (15%) spearheaded\u00a0PBF in Africa, Asia, and\u00a0Europe from 1998 onwards. Rwanda was the early PBF champion in Africa and was studied by many other countries.<\/li>\n<li>During 2006-2010, 8 countries\u00a0started pilots<\/li>\n<li>24 countries (53%) started PBF initiatives between 2011 and 2015.<\/li>\n<li>Seven countries (16%) joined from 2016 onwards.<\/li>\n<\/ul>\n<p><a href=\"http:\/\/www.sina-health.com\/wp-content\/uploads\/Status-timeline-230319.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"alignright size-full wp-image-4173\" src=\"http:\/\/www.sina-health.com\/wp-content\/uploads\/Status-timeline-230319.jpg\" alt=\"\" width=\"1294\" height=\"338\" srcset=\"https:\/\/www.sina-health.com\/wp-content\/uploads\/Status-timeline-230319.jpg 1294w, https:\/\/www.sina-health.com\/wp-content\/uploads\/Status-timeline-230319-300x78.jpg 300w, https:\/\/www.sina-health.com\/wp-content\/uploads\/Status-timeline-230319-768x201.jpg 768w, https:\/\/www.sina-health.com\/wp-content\/uploads\/Status-timeline-230319-1024x267.jpg 1024w, https:\/\/www.sina-health.com\/wp-content\/uploads\/Status-timeline-230319-624x163.jpg 624w\" sizes=\"(max-width: 1294px) 100vw, 1294px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>This posting\u00a0describes the status of PBF, RBF or strategic purchasing (a term preferred by WHO) worldwide. It is possible that some information in this posting may not be correct, that it is outdated or that we excluded countries that do apply PBF or performance-type reforms. We would highly appreciate if those, with more information or [&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\/4102"}],"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=4102"}],"version-history":[{"count":45,"href":"https:\/\/www.sina-health.com\/index.php?rest_route=\/wp\/v2\/posts\/4102\/revisions"}],"predecessor-version":[{"id":4211,"href":"https:\/\/www.sina-health.com\/index.php?rest_route=\/wp\/v2\/posts\/4102\/revisions\/4211"}],"wp:attachment":[{"href":"https:\/\/www.sina-health.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4102"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.sina-health.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4102"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.sina-health.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4102"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}