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Congo, Democratic Republic of - Health Sector Rehabilitation Support Project (英语)

Ratings for the Health Sector Rehabilitation Support Project for Congo, Democratic Republic of were as follows: outcomes were moderately satisfactory, the risk to development outcome was substantial, the Bank performance was moderately satisfactory, and the Borrower performance was also moderately satisfactory. Some lessons learned included: the many changes in indicators, including wording, targets and completely new indicators added over the course of the restructuring and AFs added much complexity to monitoring and evaluating the project progress. Better documentation on progress on these indicators and more realistic assessment before changing targets would have simplified subsequent assessments. The gender-based violence pilot in a non-conflict region is a good example of making funds available and contracting out a pilot in a theme-area that was not recognized as an urgent issue. The pilot managed by UNFPA was very successful and will be scaled up in the next project. The PBF pilot is another example of how the project, with leveraged funds, introduced a new approach to financing the system. The pilot was evaluated and produced results that confirmed that Results-Based Financing (RBF) could work in DRC. Many of the lessons and findings of this pilot are also included in the new health project, which will scale up and implement the PBF approach nationally. The project was started with the purpose to rebuild a deteriorated health sector. The approach to rebuilding at the time, in a very weak environment, was to focus on getting the vertical service delivery functional again. In the ten-year implementation period, the situation evolved and the importance of not only rebuilding the basic services at the local level but also the system itself, became important. The project, with the help of the Trust Funds, initiated some work on strengthening the health system, in the areas of health financing and financing mechanisms, but much more remains to be done. The project provides many lessons to be taken on in the new operation.


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  • 文件名称

    Congo, Democratic Republic of - Health Sector Rehabilitation Support Project

  • 关键词

    integrated management of childhood illness;package of essential Health Services;Bureau Central de Coordination;maternal and child health services;millennium development goal;ip disbursements archived;package of health service;united nations population fund;economic and financial analysis;primary health care services;financing need;accessibility of health care;quality at entry;malaria control intervention;delay in procurement;burden of morbidity;quality of supervision;transfer of responsibility;condition of effectiveness;quality of delivery;procurement of drugs;management of health;human resource strategy;human resource management;public health budget;provision of good;community health worker;assessment of risk;suspension of disbursement;malaria control activity;procurement of equipment;social services delivery;Public Finance Management;assessment of outcome;demand for service;Project Preparation Advance;outputs by components;exchange rate;Exchange Rates;essential health care;skilled health personnel;community health center;health sector performance;government health workers;modern contraceptive use;maternal mortality ratio;