Project Description:

The programme to support the health system in the South Kivu Province is a health and social development program funded by the Swiss Agency for Development and Cooperation (SDC) of the Federal Department of Foreign Affairs of the Swiss Confederation.

Its main focus is on ‘Improvement of the provision of care with focus on Maternal and Child Health and Sexual and Reproductive Health of youth’.

The project covers the areas of Uvira and Ruzizi and in the second phase Nyantende, Nyangezi, Kaziba et Mwana.

The general objectives of the PASS III programme are to:

  • increase access to use of health services in the region
  • improve the quality of services with particular focus on equity in regards to access to services.

Measures are focused on:

  • Ensuring the financing of the health sector (on province level) by establishing a system for health insurance, rational use of medication, pricing of services and support to the poor;
  • Develop integrated leadership on provincial level, support the teams of the central administration office and operational structures, coordinate effectively with important partners and stakeholders;
  • Strengthening supply and logistics management system for medicaments and strengthening of health information system.

Scope of work

m4h was responsible for the areas of health financing, quality improvement of services, supply of pharmaceuticals and health infrastructure/facility planning

Health Financing

  • Review of health financing schemes in the region
  • Provide an overview of the status of the implementation of the health insurance scheme and identify challenges/problems and solutions on how to overcome these;
  • Examine social protection schemes in place
  • Costing of RH Services;
  • Elaborate on the experience with performance based financing (PBF) in the province;
  • Analysis of pricing data system;
  • Costing for an episode of illness (theoretical average costs and actual average costs).

Health infrastructure

  • Examine the health care coverage and list health areas which are still lacking infrastructure to complete total healthcare coverage;
  • Equipment planning and costing

Pharmaceuticals

  • Medicament forecasting and planning in the region (essential package list);
  • Evaluate the logistics supply system, pricing and costs recovery, prescriptions and use of drugs, use and availability of the MEG management tool, needs of training for providers;
  • Estimate costs and proposal for the establishment of a central provincial supply in MEG;
  • Develop a protocol for the MEG periodic quality control.

Project duration: 05/2015 – 12/2017

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