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Table 4 PBF programme timeline

From: Political economy analysis of the performance‐based financing programme in Afghanistan

Date

Main Feature

July 2008

Afghanistan National Risk and Vulnerability Assessment report 2007/2008 released. The report highlighted that only 37 % of children received full immunisation, CPR was 15 %, 36 % ANC use, and 24 % SBA use. The cost of transportation was indicated as the main barrier to access health facilities by women and children.

September 2008

A preliminary MoU signed between MoPH and WB to adopt PBF.

April 2009

Health financing and sustainability policy and strategy developed and highlighted the need for supply and demand-side financing

October 2009

Financial agreement on PBF signed between the WB and Afghan MoF. The WB pledged 12 million US dollars grant to be used by the PBF programme.

Early 2010

PBF programme pilot started in two provinces (Panjshir and Samangan)

September 2010

PBF programme expanded to additional nine provinces (Badakhshan, Balkh, Bamyan, Jawzjan, Kandahar, Kunduz, Takhar, Parwan, Saripul)

December 2010

PBF workshop conducted to orient the PHOs and NSPs on the PBF objectives, mechanism of implementation, expected outputs and outcomes. The participants were managers from the MoPH and NSPs.

June 2011

PBF baseline survey submitted to MoPH

July 2011

PBF national workshop conducted to share the HMIS findings, discuss the unit costs of services, and find out challenges and way forward.

November 2011

PBF unit cost of services modified. PBF national workshop conducted to present HMIS updates.

February 2013

PBF workshop conducted to discuss about monitoring findings, implementation challenges, 3rd party verification results, implementation challenges and way forward. The participants were managers from the MoPH and NSPs.

Early 2016

PBF end line survey 2015 submitted to MoPH

  1. CPR Contraceptive Prevalence Rate; ANC Antenatal Care; SBA Skilled Birth Attendance; MoU Memorandum of Understanding; PBF Performance-Based Financing; WB World Bank; PHOs Provincial Health Offices; HMIS Health Management Information System; MoPH Ministry of Public Health; NSPs Non-State Providers