This document describes the main features of the RBF program supported by the World Bank in Burundi.
Burundi’s national PBF program was introduced in April 2010. It is the second sub-Saharan African Country – after Rwanda- to scale up its PBF program nationwide. In 2006, a PBF pilot was implemented in one province by the international non-governmental organization (NGO) Cordaid. By the end of 2009, 9 out of 17 provinces were covered by PBF pilot programs, through the work of three implementing international agencies (although only a limited number of districts in the province were covered in many cases). The program was merged with the previous ‘selective free health care’ policy, which provided free health care to children under 5 and to pregnant women. The government is one of the main financiers of the program ensuring that providers of previously free health services are subsidized more effectively. Government’s involvement has also been important to ensure that emphasis is put on the strategic purchasing of basic essential health services necessary for reaching the Millennium Development Goals.
The program’s objectives are to:
(i) improve utilization of maternal and child health care services offered to the population;
(ii) increase the presence of health personnel in peripheral areas;
(iii) motivate and stabilize the existing personnel;
(iv) increase quality of care at the health facility level;
(v) overcome weaknesses in organization and management of the health care system;
(vi) increase health center autonomy; and
(vii) make health care more financially accessible for the population.