Policy Dialogue: PFM as enabler of greater health facility autonomy
The CABRI Policy Dialogue will bring together ministries of finance, ministries of health, and, where appropriate, ministries of local government to reach a shared understanding of how each can support facility autonomy. More specifically, the Policy Dialogue aims to:
- Provide a shared understanding and common language of what facility autonomy is, what problems it aims to resolve, prerequisites, different models of implementation and the benefits and challenges.
- Outline where in the PFM system there might be bottlenecks to increasing financial autonomy, and understand how to mitigate the risks of increasing financial autonomy at the facility level.
- Create a basis for improved dialogue and collaboration between the stakeholders going forward to strengthen health service delivery at facility level.
Programme
Programme
(394.05 KB)
Background paper
Background Paper
(610.127 KB)
Presentations
Day 1 - Programme overview and objectives
(3.613 MB)
Day 1 - Findings of the Lancet Commission on Financing Primary Healthcare
(2.454 MB)
Day 1 - Towards a typology of financial autonomy of PHC facilities in LMIC
(365.694 KB)
Day 1 - Status of facility autonomy in Burkina Faso, Indonesia, Philippines, Kenya and Uganda
(878.742 KB)
Day 1 - PHC facility financing and the Uganda Intergovernmental Fiscal Transfers Programme
(451.636 KB)
Day 1 - Using the problem-driven iterative adaptation approach to support facility autonomy in Malawi
(1.156 MB)
Day 1 - Managing the Gratuité and Crédits Délégués programme in Burkina Faso
(466.452 KB)
Day 2 - Intersection of health facility financing and PFM
(1.792 MB)
Day 2 - Overview of provider payment mechanisms and PFM implications
(772.116 KB)
Day 2 - Supporting the equity and adequacy of facility budget allocations in South Africa
(380.275 KB)
Day 2 - Sequencing of autonomy and financial management capacity constraints and needs of facilities
(199.18 KB)
Day 3 - Adopting a risk-based approach to expenditure controls
(466.088 KB)
Day 3 - Facility Financial Accounting and Reporting System (FFARS) in Tanzania
(1.226 MB)
Speakers
Danielle SEREBRO
Programme Manager, CABRI
Professor Kara HANSON
Professor of Health System Economics and Dean of the Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine
Hélène BARROY
PhD – Senior Public Finance Expert, World Health Organization (WHO)
Dr Kay BROWN
Executive Secretary, CABRI
Agnes MUNYUA
Programme Director: Results for Development (R4D)
Professor Sophie WITTER
Professor of International Health Financing and Health Systems, Queen Margaret University
Pura Angela WEE-CO
Country Director: Thinkwell Philippines
Antoine LACROIX
Independent Consultant
Raymond KIWESA
Direct Facility Financing Coordinator, PoRALG, Tanzania
Simon KAYE
Chief Financial Officer, Western Cape Provincial Department of Health, South Africa
Dr Kamil SHORETIRE
Director of Health Planning Research and Statistics, Federal Ministry of Health, Nigeria
Tom HART
Senior Research Fellow, ODI
Sèwènan Rodrigue CHAOU
Budget Director, Ministry of Finance, Benin
Dr Ahmed Mohammed Abdelkader SEYAM
Deputy CEO for Technical Affairs & Director of the Health Economics and Health Systems Research Unit, Universal Health Insurance Authority
Sheila O’DOUGHERTY
Independent Consultant
Aisha Isyaku TUKUR
Executive Secretary, Kaduna State Health Supplies Management Agency
Moritz PIATTI-FÜNFKIRCHEN
Senior Economist, World Bank
Gemini MTEI
USAID
Giselle HADLEY
Programme Manager, CABRI