| Project Detail |
The objective of the Improving Health Sector Performance Project for Djibouti is to improve the utilization of quality health care services for maternal and child health and communicable disease control programs (HIV/AIDS, tuberculosis and malaria). The purpose of the AF is to: (1) close the funding gap necessary to introduce methodological adjustments; and (2) to scale up the PBF component to expand the project to all geographical areas of the country. The AF will be used to update and improve implementation by: a) revising the incentives currently used to encourage health facilities to improve performance; b) introducing the quality adjustment component; c) integrating incentives for management at the PIU; d) piloting facility autonomy in managing drug revolving funds to improve the drug supply; and e) improving coaching and accompaniment for health facilities. The AF will additionally formalize links with the World Bank-financed Social Safety Net Project (Cr. H7790) by facilitating subcontracting between health facilities and community peer educators. For the national scale-up, in addition to Djibouti-ville, Ali-Sabieh and Tadjourah, the AF proposes to expand the PBF to include health facilities in Arta, Dikhil and Obock. The closing date of the original project is December 31, 2018; the AF will have the same closing date. |
