Since 2005 HealthNet TPO has carried out the health system strengthening programme, focusing on (re)building health structures. Activities aim to build capacity of district level health authorities in supervising health service delivery and management and increasing quality and capacity in these services.
The TMF programme, funded by the Dutch Ministry of Foreign Affairs, introduced the Performance Based Finance approach. The Ryansore district was the first structure supported in the Gitega province and was one of three pilot areas in the whole country. To the satisfaction of health authorities, health indicators positively increased due to this new approach. At the end of 2008, most of health indicators in Ryansore district were progressively improved. More people have access to health centres and are stimulated by the community to make more use of the public health services. Children were fully immunized and family planning rates increased. This positive evolution is due to community sensitization, capacity building of technical staff, services organization emphasized on quality care, all stimulated by the Performance Based Financing approach.
After the TMF programme ended, in 2009 the MFSI programmes started (again funded by the Dutch government). The aim is to improve the infrastructure and performance of the public health sector. Accessibility and capacity of health care should be increased so that everyone, including returning refugees, has access to basic health care. The programme has extended to all four health districts in Gitega province and to Muramvya.
Some activities and results:
HealthNet TPO’s involvement with and evaluation of the PBF experience has led to active participation in regional workshops and policy implementation, with a net improvement in health service delivery and quality improvements in health care. Community participation ensures common priority setting for health services focused on the most common diseases. In Burundi, PBF has certainly played a role in mobilizing public funds for the health sector and especially for running costs.
Donors: World Bank, GAVI, Dutch Ministry of Foreign Affairs
Aim: Improvement of the infrastructure and performance of the public health sector. Accessibility and capacity of health care should be increased so that everyone, including returning refugees, has access to basic health care.