Performance based Financing as a Health System Reform: Success Story on How the Application Performance Based Measures Improve Performance Both in Quantity and Quality of Health in South West Region
Background: In order to improve the health status
of its population and to find practical solutions to the main challenges of the
health system, the Government of Cameroon has been implementing the Performance
Based Financing approach (PBF) since 2011.
the pilot phase from 2011 to 2014, the project produced encouraging results as seen
in the use of health facilities by the population, quality improvement and governance
in health facilities. The project also enabled the actors involved to learn lessons
during its implementation.
This paper is based on first hand observation carried out by the researcher alongside
the ground implementers of the PBF system in the health sector (CDVA South West
Region). The group developed some criteria to stimulate improvement in health care,
by ensuring payment for greater performance. The group also developed main criteria
to measure the improvement in performance which can be translated in monetary terms,
coaching was regularly carried out to provide solutions to problems. These activities
were carried out between 2011 and 2014 in four health districts of the South West
Region of Cameroon.
The paper starts with a discussion, to clarify the core concept of PBF and how the
different terms are used. It then develops a framework of on the development of
implementation, evaluation, monitoring, coaching and the final results.
The paper brings out a picture of the importance of the PBF system of health financing
in the South West Region of Cameroon, showing the pictures of change and the changes
in the quality and quantity of health care delivery by health facilities.
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