Title:
Opportunities and Barriers to community participation in Performance-based financing in Zambia
Authors:
Mukololok, Kaiko
Year:
2016
PAGE:
x, 66
Language:
En
Subject:
Health and Poverty
Keywords:
RBF, PBF, Community, participation and Social accountability
Abstract:
Background: Zambia has made progress in reduction of key indicators like Child Mortality Rates between 1990 and 2014 from 193 to 75 per 1000 live births. Despite the reductions, inequalities remain, human resource shortages. And inefficiency in health returns despite relatively high expenditure. Outcomes such as MMR, IMR indicate poor health returns. PBF was introduced in order to address the challenges . Objective of study: To critically examine how community participation is operationalized in PBF experiences in Zambia in order to identify gaps, make recommendations for health workers, policy makers and other key stakeholders to tackle the challenges. Methodology: was through literature review of both published, unpublished data and peer-reviewed literature. The study adapted and modified the World Bank PBF conceptual framework for the HRITF. Findings: Community members were given an important role to play but findings indicate that they passively participated in PBF activities and did not fully exploit their role. Recommendations: I recommend that further research be conducted to document the opportunities or barriers to community participation in PBF. I further recommend for separation of contract regulation, community empowerment and verification roles to ensure accountability and strengthen community voice. Lastly but not the least incentives should be provided to community actors for their role in PBF.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institue)
Department:
Development, Policy and Practice
Country:
Zambia, Republic of
Region:
East Africa
Training:
Master of Public Health/International Course in Health Development (MPH/ICHD)
Category:
Research
Right:
© 2016 Mukololok
Document type:
Thesis/dissertation
File:
kclbt0Gw4S_20170504153554532.pdf