Nigerian Results-Based Financing Fellowship: A Strategic Approach for Sustaining Results-Based Financing in Nigeria

Frontiers in Public Health

article

Olusola Olabisi Ogunseye¹ 

[1] Department of Environmental Health Sciences, Faculty of Public Health, College of Medicine, University of Ibadan

关键词: results-based financing;    input-based financing;    technical assistance;    primary health care;    health system;    reform;    Nigeria;   

DOI  :  10.3389/fpubh.2020.593175

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

There is an emergency in the Nigerian primary health care (PHC) system. Majority of PHC facilitiesare in a sordid and lugubrious state (1). Despite substantial government spending and policyinitiatives toward revitalizing the PHC system, it remains largely deplorable across the WorldHealth Organization (WHO) health system building blocks (2). To this end, the governmentof Nigeria in collaboration with the World Bank launched a Results-Based Financing (RBF)project under the Project Name: Nigeria State Health Investment Project (NSHIP) with the goalof improving service utilization and quality of healthcare services in Nigeria (2, 3). Due lackof in-country capacity, Oxford Policy Management (OPM) was contracted by National PrimaryHealth Care Development Agency (NPHCDA) in 2014 to provide technical assistance to NSHIPfor the implementation of RBF in Nigeria. In order to bridge the capacity gap at the exit of OPMin 2018, Nigerian Results-Based Financing Fellowship was conceptualized jointly by OPM andNPHCDA to train 14 Nigerians to a level whereby they are able to take on technical assistanceroles in NPHCDA for continued implementation and possible scale-up of RBF in Nigeria (4). Thispaper describes the 10-months RBF fellowship, the competencies acquired and its usefulness asstrategic approach for the sustainability of RBF in Nigeria.

【 授权许可】

CC BY