Objectives

“To improve maternal and child health in Zimbabwe”.

“by improving the availability, accessibility and quality of key reproductive and child health services and their optimal utilization”,

Project implementation

Through the establishment of a results based financing fund, which is managed by a National Purchasing Agency (NPA)

Project implementation

Inputs ResultsHealth Facility

Activities

Focus of classic health system financing

Focus of results based financing

Results based financing introduces incentives which are aimed ataligning individual and organizational goals general health system goals.

Push Pull

Components

Results based contracts with:

1.Provincial Management Teams

2.District Health Teams

3.Health centers, where the HCC, DHT and the purchaser

4.Training, continuous supervision and learning

Institutional setup

Indicators includedPrimary Care - Health Centers Maternal

Services, for example:Curative care consultations OPD (new

consultation)Antenatal care visits (4)Pregnant woman tested for HIVDelivery attended by skilled health worker in

health institutionHigh Risk Maternal cases referral outPostnatal care visitFirst and repeat visits for FP modern methods

Indicators IncludedPrimary Care - Health Centers Child

Services, for exampleChild < 1 year fully immunizedVitamin A given to a child 6 to 59 months

Secondary level - Hospital Maternal ServicesNormal deliveries in district hospitalDeliveries with complications (caesareans

excluded)Caesareans performedFamily planning: Tuba Ligations

Other Instruments

• Equity fund• Verification by community organizations• Benchmarking as learning tool• NPA support to create plan to meet minimal requirements

Timeline and Design ProcessMarch 2011 Preparation Grant signed and

project design process startedDevelopment of Project Implementation

Manual ongoingLearning by doing approach through

selection of two frontrunner districts Experience in frontrunner districts will be

used to finalize the project design Scale up to initially 2 districts per province

Thank for your attention!