Table 2 PBF programme key actors’ role

MoPH

HEFD

The MoPH HEFD assumed responsibility for the daily implementation of the PBF programme including monitoring and preparing yearly reports to track progress on programme implementation. In addition, HEFD cooperated with HMIS in organising training sessions for managers involved in PBF

GCMU

GCMU assumed responsibility for processing and managing contracts for NSPs and for third-party organisations. The GCMU finance section assumed responsibility for conducting the financial management of the programme such as preparation of payment orders, fund disbursement, reports, and expenditure statements.

HMIS

The MoPH HMIS Unit introduced changes to the HMIS data capture forms to enable its use to monitor PBF. Furthermore, they led training sessions for the implementers and PHO staff on the new HMIS, NMC, and other PBF-related events. The HMIS also had to maintain and supply any PBF-related HMIS information and provide reports on the main PBF indicators.

PHO

The MoPH PHOs assumed responsibility for ensuring that oversight from the BPHS health facilities was conducted in coordination with the NSPs. Moreover, the PHOs were responsible for arranging provincial PHCC meetings.

M&E

The MoPH M&E Unit assumed responsibility for managing and processing NMC data. The staff of M&E assisted the HEFD with monitoring activities associated with the PBF.

MoF

The MoF was the prime recipient of the PBF fund. The MoF role was to strengthen donor coordination, to ensure accountability and transparency, and to align donor funding in accordance with the country development objectives. The MoF delegated full authority in terms of technical decisions and project management to MoPH regarding PBF.

The WB

The WB provided financing assistance to PBF programme and played an operational role in appraising and monitoring PBF programme activities. The WB provided the final approval on the PBF procurement and financial plan, process of contracting NSPs and third party, the release of funds to implementers, hiring of staff, and adaptation of the design of PBF programme.

Third Party

The function of the third party was to verify HMIS data and conduct baseline and-end line surveys to evaluate the effect of the programme. Moreover, the third party had the responsibility for assessing the quality of PBF health facilities.

NSP

The NSPs assumed responsibility for implementing the PBF programme in the BPHS health facilities. They were expected to ensure the availability of quality health services to the people whom they were serving in accordance with their PBF BPHS contracts, as well as make an accurate record of any unintended effect of PBF on the delivery of health services.

HW

The healthcare workers provided health care services to people.

Patient

Patients were the prime beneficiary of health care services provided by healthcare workers.