{"id":4936,"date":"2024-01-05T12:06:22","date_gmt":"2024-01-05T11:06:22","guid":{"rendered":"https:\/\/www.sina-health.com\/?p=4936"},"modified":"2026-10-11T13:09:28","modified_gmt":"2026-10-11T11:09:28","slug":"final-report-of-the-92nd-pbf-course-of-27-november-to-9-december-2023-in-cotonou-benin","status":"publish","type":"post","link":"https:\/\/www.sina-health.com\/?p=4936","title":{"rendered":"Final report of the 92nd PBF course of 27 November to 9 December 2023 in Cotonou, Benin"},"content":{"rendered":"

The 92nd international PBF course<\/strong> took place at Benin Atlantic Beach Hotel in Cotonou, with 32 participants from three countries. Here is the final report of the course (rapport final<\/a>)<\/span>.<\/p>\n

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The 32 participants from Mali, Guinea-Bissau, and Benin<\/p><\/div>\n

The 16 participants from Mali were the largest group, including nine from the contract, development, and verification agency (CDV) Koulikoro, three District Medical Officers, three providers, and one from the University. Among the 10 participants from Guinea-Bissau, there were two from the World Bank Project Implementation Unit and eight from the Ministry of Health. Benin was represented by five persons from the accounting firm COFIMA, and one person from MSV (M\u00e9decins sans Vacances).<\/span><\/p>\n

Thirty-two participants took the post-test, and the average score was 71%, an improvement of 25% from the pre-test (46%). Nine participants earned a Certificate of Distinction with a score of 90% or higher on the course post-test. We also congratulate Ms. Armelle Carine GABA, who scored 100% on<\/span>\u00a0the final test.<\/em><\/h2>\n
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Acrobats during the closing ceremony<\/p><\/div>\n

Participants evaluated this course very well, with daily and final scores higher than previous French-speaking courses. This is probably because most participants self-financed their stay. This time, the Benin Atlantic Beach Hotel was also better prepared to receive the participants than in previous courses.<\/p>\n

This course was also historic in the PBF community, because we welcomed the 3000th participant since the first course in 2007.<\/em><\/strong><\/p>\n

This was Jessica Vanessa da CUNHA, the social expert from the Bank’s Project Coordination Unit World in Guinea-Bissau.Recommendations from participants and summary of group action plans<\/strong><\/p>\n

1. \u00a0 \u00a0 Republic of Mali<\/h3>\n

\"\"<\/a>Mali covers 1.2 million km\u00b2 and has 20 million inhabitants, with an annual per capita income of only 770 USD. Health coverage and care quality are low, and unqualified staff often provide care.<\/p>\n

Decades of implementation of several reforms, before PBF started to expand in 2016, have not significantly improved impact indicators such as crude mortality, maternal mortality, and infant and child mortality.<\/p>\n

Health system problems in Mali before PBF<\/strong><\/p>\n

Insufficient health personnel and inadequate geographical distribution of human resources. The private sector’s contribution to improving health outcomes remains limited because the government prefers to support the public sector. The national public pharmaceutical supply system performs suboptimally. National public health spending ($7 per capita) represents less than 1% of GDP. Prepayment systems remain fragmented and cover only about 13% of the population. On average, Mali has only six qualified personnel per 10,000 inhabitants (the WHO standard is 23).<\/p>\n

This situation is worsened by the political-security crisis, with persistent insecurity making it difficult to focus on health services in certain regions (especially the north and center).<\/p>\n

Performance-based financing (PBF) reform in Mali<\/strong><\/p>\n

To address these problems, Mali embarked on PBF reforms, which underwent two pilot phases in the Koulikoro region. The budget planned for the component \u201cStrengthening Health Service Delivery (RPSS) 2020-2024 through performance-based financing\u201d is USD 66.4 million (IDA USD 34 million, USD 3 million from the GFF, and USD 29.4 million from the Netherlands).<\/p>\n

The following successes of the PBF reform were observed: i. improved service quality; ii. an increase in key service delivery indicators; iii. staff motivation; and iv. improved retention in rural posts. A new phase of the PBF begins in June 2024, and the group from Mali proposes to advocate strongly to authorities and partners to continue the PBF as the preferred strategy.<\/p>\n

From the Malian participants’ perspective, there is no plan B for the PBF approach to achieve Universal Health Coverage.<\/strong><\/p>\n

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Courageous participants in the Pythons Temple in Ouidah<\/p><\/div>\n

More specifically, the Malian group proposes to the Ministry of Health and Social Development and the CTN :<\/strong><\/p>\n