These meetings aimed to disseminate information on Rungwe PBF
Pilot Project implementation. It was
done through the Presentation of PBF as health financing Model, and give them
feedback on the implementation of Rungwe PBF Pilot Project.
These meetings were conducted in these Councils: For Mbeya City,
Kyela, Mbarali, Ileje, Chunya and Mbozi. It was one day meeting for each
council. A total of 144 participated. It was conducted in June for Mbeya City
and October 2012 for the other remaining Councils.
The Zonal PBF Coordinator presentation was in two parts: PBF as
health financing model and Implementation of Rungwe PBF Pilot Project
(challenges, success and recommendations). After the presentation, the members
have very active and open discussions, and these were the burning issues
raised:
- The Government should adopt
PBF as the Health National Policy as it
will solve the performance issue and staff motivation
- The Health Training Institutions
should have PBF in their Curriculum so that the health workers will have
insight on the health financing Model
- The Government should work out
the separation of functions for transparency and efficiency in the health
sector
- The Councils and Hospitals
Management Teams need more training on the subject to have full understanding of the Concept and
its application to the service delivery in their facilities
- Staff should be oriented on
Entrepreneurship so that they can apply the business principles such as
customer care for quality improvement
- For the sake of harmony, more clarification on bonuses be
made as issues related to staff remunerations can cause conflict in the work
place
- It is important to use internal
sources of fund to effect the innovative health financing approaches including
PBF, as depending on the donor will undermine sustainability of projects
- The Government has to review the
staff recruitment and employment and let
the Local Government recruit and employ the staff they need for
improving accountability
Generally, it was apparent that the management Teams were in
favour for change. They will like to
improve Health Services delivery based on Performance due to the staff
motivation. Yet, the hesitation of the
Government in adopting new Policies was also noted which needed more advocacy
in various decision making levels starting from the local to the national level
The team members promised to apply some PBF Principles to
improve health service delivery.
Below is the Group photo of the Council Health and Hospital Management Teams after the meeting
in Mbozi District Council.
