In Sierra Leone, the performance-based financing scheme was introduced nationwide in April 2011, following a year of Free Health Care (FHC).
Although Ebola outbreak significantly affected the utilization rate of health care services, PBF allowed facilities and hospitals to have more autonomy in their daily dealings and increased health worker motivation.
This bulletin highlights selected success stories, as well as gives an overview of the performance-based financing scheme and its implementation in Sierra Leone.
Saidu Kay Sesay (far right) vaccinating children at the Princess Christian maternity Hospital on March 10, 2015 in Freetown Sierra Leone. Photo © Dominic Chavez/World Bank
The Annual Bulletin was developed under the supervision of Dr. Sas Kargbo, Director Health Systems, Policy, Planning and Information