Table 2 Functions and tasks of institutional actors involved in performance-based financing implementation
Institutions | Functions | Tasks |
|---|---|---|
âś“ CSCOM | Service provision | - Propose and execute the results plan |
âś“ CSREF | - Negotiate and sign the contract | |
- Produce the services and care | ||
âś“ For CSCOMs: Commune and ASACO (pays for the technical services) | Purchasing (contracting) | - Define priorities |
- Negotiate the results plan | ||
âś“ For CSREFs: Circle Council | - Negotiate and sign the contract | |
- Launch the audit process | ||
- Purchase the outputs | ||
âś“ Project coordination unit/Strengthening Reproductive Health Project | Payment (for outputs produced) | - Pay, after purchaser has signed |
- Ensure availability of funds | ||
✓ HDMT/RHD | Regulation | - Ensure norms and standards are respected – national policy |
- Coach health providers | ||
âś“ For CSCOMs: HDMT | Performance auditing of providers (quantity and quality) | - Audit the veracity and reliability of the numbers reported in health centre registers |
âś“ For CSREFs: RHD | ||
- Monitor technical quality | ||
- Submit a timely audit report to the purchaser | ||
âś“ Grassroots community organisation and independent external agency | Cross-auditing of performance at the user level | - Sign a contract with the purchaser |
- Verify whether each person actually received the services | ||
- Submit a timely audit report to the purchaser | ||
âś“ External auditor | Annual external auditing | - Verify the accuracy of the data and expenditures |
âś“ District management council | Steering committee | - Define programme policies and strategies |
âś“ National steering committee | - Ex-post monitoring | |
- Arbitration in cases of differences of opinions between providers and payers or auditors | ||
âś“ Consultancy firm | Technical support |