On 7th June 2011, PBF Rungwe Pilot Project team had meeting with Council i.e. Rungwe District) Health Management Team (CHMT) and Tukuyu Hospital Management Team ( HMT) members at DMO mini conference room for 2 hours, whereas a total of 19 members participated in the meeting.
The objective of the meeting was share PBF Rungwe Pilot Project information and advocate for PBF project principles adaptation in Rungwe District- especially in the health Department. The meeting was opened by DMO Rungwe- Dr. Sungwa Ndagabwene.
Zonal PBF Coordinator- Mr. Sule, T.Michael made a brief presentation on PBF: which contained information on CSSC, PBF Multi-country network, Project objectives, expected results, PBF principles, project progress, challenges and proposed solutions.
After the presentation, the participants came up with questions and comments, some of which included the following:
- What does Government say about motivating the staff?, as staff motivation is the key to performance of the health care.
- The project is almost half of its implementation period, what can be expressed as success of PBF in the District?
- How can staff be motivated fairly without bias, as bias can demotivate the staff badly
- Comment: The members were argued to have mind set change in regard to performance, as for accountability. As leaders we are supposed to help the staff to have their rights.
The raised questions were answered accordingly by Zonal PBF Coordinator and thanked the participants for their active participation in the meeting and argued them to think over some PBF principles which they could start with in the hospital.
However, the DMO Rungwe thank the PBF Team for the presentation and said that this give them a challenge on how to improve health care provision from input to output based financing. He noted that they will discuss ways to adapt some PBF elements in the hospital management.
From the above information, it is apparent that change is a process and will take some time, however, when the key leaders have the right information it is quite easy to accept the change in their work place
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