CERDI workshop presentations – day 1

1 Jan

Powerpoint presentations of the first day of the workshop : Incentive Schemes and Performance of Health-Care Providers in Low-Income Countries: Recent Developments, Risks and Emerging Challenges.

Session 2 – From pilot to national policy: scaling up performance-based financing schemes

A few pioneer countries are currently in the process of scaling up performance-based financing schemes nation-wide. The main objective of the session is to draw lessons from these experiences. Particular attention will be paid to: the initial plan, the constraints set by the scale up, the opportunities it generates, the actual process (including at political level), new instruments, challenges, bottlenecks and progress. Président / Chairperson : Kathy Katengwa, Management Sciences for Health, Rwanda.

Contracting in Cambodia. Mariam Bigdeli. WHO Cambodia.

Using P4P to sustain high service delivery level during transition of management authority at Cambodia. Bart Jacobs. Lux Dev Cambodia

From program to national policy in Rwanda. Gyuri Fritsche. World Bank.

Des expériences pilotes à la mise à échelle au Burundi. Olivier Basenya. Ministry of Health, Burundi.

Session 3A – Incentives for Performance: a new strategy for fragile states?

The main objective of the session is to draw lessons from recent experiences with performance-based financing and contracting in fragile states. Particular attention will be paid to: appropriate models of interventions (given the specific constraints), intervention process, role of some key actors (Ministry of Health, donors, international and national NGOs), and (intended and unintended) results so far. Issues related to health system strengthening (is PBF good or bad in that respect?) will be questioned.

RDC : La situation en RDC. Nicolas de Borman

Le PBF dans un Etat fragile : peut-il réussir et comment ? Cas de la Province du Sud Kivu en RD Congo Pacifique Mushagalusa, RDC

RDC : L’achat de services de santé en RDC. Dynamique de mise à l’échelle au Kasai Occidental. Didier Ramanana, AEDES et Zéphyrin Kanyinda, EUP FASS Kasai Occidental, RDC

Afghanistan : PBF dans un “fragile state ». Dr Iqbalshah Pakzad, Ministry of Public Health, Afghanistan

Session 3B – PBF : PBF at the frontiers: new tools, new actors

A few pioneer countries are currently in the process of testing performance-based financing schemes for high impact interventions to be implemented by community actors (individual community agents, community-based organizations, health committees…). The main objective of the session is to draw lessons from these pilot experiences. The session will focus on the constraints set by this type of interventions, the institutional arrangement (e.g. with whom should one contract?), the actual process (including challenges), early results and lessons learned.

Cameroun : Expérience du PBF communautaire dans le Diocèse de Batouri-Cameroun. Jean-Pierre Tsafack, Projet REDSSEC, Cameroun

Burundi : L’Outil d’Indice et son importance dans la mise en œuvre du FBP au Burundi. Canut Nkunzimana, Burundi

Rwanda : contracter les acteurs communautaires au Rwanda, de l’expérimentation à l’action. Louis Rusa, Ministère de la Santé, Rwanda et Kathy Katengwa, Management Sciences for Health, Rwanda

Session 4 – Performance-based schemes: evaluating impact

Experiences of performance-based schemes are relatively new, and there is a lack of a large scale evaluation of their results. The main objective of this session is to provide key information to those who are going to evaluate the impact of their intervention. The session will largely focus on the need to find evaluation methods that will clearly attribute the observed changes to PBF by controlling for the impact of other possible reforms undertaken at the same time.

Methodological Challenges in Impact Analysis. Chrystel Vermeesch, Banque Mondiale, Etats-Unis

Rwanda: Résultats de l’étude d’impact du financement basé sur la performance. Paulin Basinga, School of Public Health, Rwanda

Egypte: Impact des paiements incitatifs aux prestataires de services de santé pour la santé reproductive. Sherine Shawky, American University in Cairo, Egypte

Turkey: Impact of the Performance Based Payment System on Efficiency of Healthcare Services. Burcay Erus, Bogazici University, Turquie

Session 5 – Enjeux techniques et politiques / Technical and policy challenges

After having listened to presentations on the challenges and results from some of the field experiences, this session will bring the discussion back to a set of conceptual level issues and challenges related to the use of performance incentives. The session will discuss this approach by framing it in the general framework of health system reform strategies. One of the presentations will aim at providing lessons learned from the high income country schemes that can be useful for the low income countries.

Enjeux techniques et politiques. Jacky Mathonnat, CERDI.

Un même concept, des applications très différentes. Jean Perrot, OMS, Suisse, Laurent Musango, OMS-AFRO, Gabon, Gyuri Fritsche, Banque mondiale, Etats-Unis

Splitting functions in a health system: insights from the economic literature. Bruno Meessen, IMT, Belgique

Le PBF dans une logique de réforme. Agnès Soucat, Banque mondiale, Etats-Unis, Claude Sekabaranga, Banque Mondiale, Etats-Unis, Bruno Meessen, IMT, Belgique

L’incitation à la performance dans les pays développés : leçons pour les pays en développement. Riku Elovainio, OMS, Suisse

One Response to “CERDI workshop presentations – day 1”

  1. ROCKSON ATAKOLE 24/02/2010 at 12:15 #

    papers and presentations are useful for those would like to pilot RBF.

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