Description of Session
Implemented by the National Primary Healthcare Development Agency, Nigeria’s PBF system utilizes a suite of tools to incentivize improved healthcare provision. This system depends on high quality data collected from facilities, verification of this data across different sources, and payments associated with results. The data flow in a PBF system begins with initially reported data (“claimed”), compared with “verified” data, and based on a complex series of algorithms, facility payments are adjusted based on either a carrot (bonuses if discrepancies are below a specified threshold), or a stick (sanctions levied if discrepancies are above a specified threshold). In recent years, the system has evolved from a stand alone platform to one centered around a DHIS2 instance. By transitioning to a DHIS2-based platform and integrating with the HMIS, the PBF program has been able to leverage efforts to reduce redundant activities and improve data quality beyond this program. The audience will hear how the project has dealt with rapidly changing needs and new technologies, learning from Nigeria's experience implementing a complex project with widely varying stakeholders.
