Financing Health in Africa - Le blog
  • Home
  • Bloggers
  • Collaborative projects
  • Join our COPs
  • Resources
  • About Us
  • Contact Us

2010-2020: triple anniversary!

9/14/2019

0 Commentaires

 
Bruno Meessen, Isidore Sieleunou & Olivier Basenya

Next year will mark the ten years of three events that have been important to our community: the publication of the WHO Report on Universal Health Coverage, the establishment of the PBF CoP and the scale-up of the Performance-Based Financing policy in Burundi. Should not we celebrate these anniversaries? We launch a call for ideas.

Photo

The launch of the PBF CoP

From February 2nd to 6th 2010, more than 100 experts gathered in Bujumbura for a Performance-Based Financing (PBF) workshop and for the launch of a community of practice of the same name. Those present certainly remember this week of passionate discussions without interference from agency or project agendas.

Ten years later, much of the vision that animated us has materialized. PBF has become a political axis in many countries. Of course, it is your contribution as professionals, day by day, which has been decisive. We simply hope that the PBF CoP, as a collective intelligence platform, has been helpful to you in your personal and collective journeys.

Ten years of existence, that’s a lot for a CoP. The time has come to take stock and think about the future. Many things have evolved as for knowledge about PBF. In 2010, researchers paid little attention to PBF. Nowadays, every month, new studies are published. A generation of researchers has made PBF the subject of their doctoral research. The World Bank has funded numerous impact studies. This development on the research side suggests that the body of knowledge has taken a more rigorous nature. Some ideas may have been 'falsified' (invalidated) by empirical studies. Others have been confirmed. It is probably time to re-evaluate some components of the policy, as others and ourselves, did, recently on the issue of family planning for instance.

While the PBF CoP has contributed to the international development of PBF, PBF has also affected the CoP PBF in its own dynamics. In the coming months, we would like to launch a debate with you on which future you would like to give to your CoP. This debate will be introduced by ourselves, but we will then rely on your own thoughts and proposals.

The Selective free health care – Performance-Based Financing Policy of Burundi

It was ‘bubbling’ with ideas in Bujumbura in 2010. On April the first, the Ministry of Health scaled up the PBF strategy nationwide. Burundi thus became the second country, after Rwanda, to make PBF a national policy with considerable investment from public finance.

The originality of the policy in Burundi was to integrate the PBF system within the selective free health care policy targeting children under 5 and deliveries (a policy in place since 2006). The Burundi experience significantly enriched our understanding of how PBF could be combined with strategies to remove financial barriers encountered by households (as a reminder, in Rwanda, PBF complemented the community-based health insurance scheme). Because of this trait, the significance of the Burundian experience goes well beyond its borders and could be a source of inspiration for other countries, as confirmed by a joint workshop of PBF CoP and the Financial Access to Health Services CoP in 2012 ... in Bujumbura.

Once again, we invite you to contribute to celebrate this anniversary. In 2020, on this blog, we will of course talk a bit about Burundi, but we would be especially interested in conducting a collective reflection going beyond Burundi alone. Questions could be about how PBF and user fee removal policies have been evolving in your countries, how they have strengthened (or not) health systems and what their future place in UHC will be. We could also discuss the perceptions of the actors and how to deal, in a dispassionate way, with criticisms against these policies. Should not we also be looking at the issue of sustainability? Feel free to come with your ideas.

The WHO Report 2010

Let's end with the most significant event. In November 2010, WHO published its Annual Report focused on the theme of Health Financing for Universal Health Coverage. Of course, this report was just another step in a process already underway, but it is undeniable that this document, by its quality, was a pivotal moment in the international dynamic in favor of UHC.

In 2020, with all of you, we would like to take the time to make a kind of assessment of what has been achieved over ten years. We invite you to take a closer look at the situation in Africa. As a ‘political banner’, has the UHC agenda enabled the fight against social injustice? Has it helped citizens to consolidate their rights to health? Do we see any evolution of the commitment at the level of the national authorities? Are these just words or real achievements? Is the knowledge ecosystem required for this ambitious political and technical program emerging in your country? How to appreciate the contribution of international organizations and academia over these 10 years? What do empirical data tell us about progress towards UHC? Have we been misguided as to implementation strategies? Is the integration of the private sector working? Questioning abounds!

We are open to your proposals. Do you have blog posts to propose us? Do you have any speakers you would like to hear in a webinar? Have you some ambitious projects for the CoPs to put forward? We are waiting for your proposals. We will see what is feasible at our level and what we will need to relay to other actors, including our friends at WHO.
 
We invite you to react directly at the bottom of this blogpost (click here). Thus, the discussion can be collective. But do not hesitate to contact us personally.
0 Commentaires

Votre commentaire sera affiché après son approbation.


Laisser un réponse.


    Our websites

    Photo
    Photo
    Photo

    We like them...

    SINA-Health
    International Health Policies
    CGD

    Archives

    Septembre 2019
    Juin 2019
    Avril 2019
    Mars 2019
    Mai 2018
    Avril 2018
    Mars 2018
    Février 2018
    Janvier 2018
    Décembre 2017
    Octobre 2017
    Septembre 2017
    Août 2017
    Juillet 2017
    Juin 2017
    Mai 2017
    Avril 2017
    Mars 2017
    Février 2017
    Janvier 2017
    Décembre 2016
    Novembre 2016
    Octobre 2016
    Septembre 2016
    Août 2016
    Juillet 2016
    Avril 2016
    Mars 2016
    Février 2016
    Janvier 2016
    Décembre 2015
    Novembre 2015
    Octobre 2015
    Septembre 2015
    Août 2015
    Juillet 2015
    Juin 2015
    Mai 2015
    Avril 2015
    Mars 2015
    Février 2015
    Janvier 2015
    Décembre 2014
    Octobre 2014
    Septembre 2014
    Juillet 2014
    Juin 2014
    Mai 2014
    Avril 2014
    Mars 2014
    Février 2014
    Janvier 2014
    Décembre 2013
    Novembre 2013
    Octobre 2013
    Septembre 2013
    Août 2013
    Juillet 2013
    Juin 2013
    Mai 2013
    Avril 2013
    Mars 2013
    Février 2013
    Janvier 2013
    Décembre 2012
    Novembre 2012
    Octobre 2012
    Septembre 2012
    Août 2012
    Juillet 2012
    Juin 2012
    Mai 2012
    Avril 2012
    Mars 2012
    Février 2012
    Janvier 2012
    Décembre 2011
    Novembre 2011
    Octobre 2011

    Tags

    Tout
    2012
    Accountability
    Aid
    Alex Ergo
    Assurance Maladie
    Bad
    Bamako Initiative
    Bénin
    Bruno Meessen
    Burkina Faso
    Burundi
    Civil Society
    Communauteacute-de-pratique
    Communauté De Pratique
    Community Of Practice
    Community Participation
    Conference
    Cop
    Course
    Couverture Universelle
    CSU
    Déclaration De Harare
    Divine Ikenwilo
    Dr Congo
    économie Politique
    élections
    équité
    Equity
    Fbp
    Financement Basé Sur Les Résultats
    Financement Public
    Fragilité
    Fragility
    Free Health Care
    Global Fund
    Global Health Governance
    Gratuité
    Gratuité
    Health Equity Fund
    Health Insurance
    ICT
    Identification Des Pauvres
    Isidore Sieleunou
    Jb Falisse
    Jurrien Toonen
    Kenya
    Knowledge-management
    Kouamé
    Leadership
    Mali
    Management
    Maroc
    Maternal And Child Health
    Médicaments
    Mise En Oeuvre
    Mutuelle
    National Health Accounts
    Ngo
    Niger
    Omd
    OMS
    Parlement
    Participation Communautaire
    Pba
    Pbf
    Plaidoyer
    Policy Process
    Politique
    Politique De Gratuité
    Politique De Gratuité
    Post Conflit
    Post-conflit
    Private Sector
    Processus Politique
    Qualité Des Soins
    Qualité Des Soins
    Quality Of Care
    Recherche
    Redevabilité
    Reform
    Réforme
    Research
    Results Based Financing
    Rwanda
    Santé Maternelle
    Secteur Privé
    Sénégal
    Société Civile
    Uganda
    Universal Health Coverage
    User Fee Removal
    Voeux 2012
    Voucher
    WHO

Powered by Create your own unique website with customizable templates.