The PNFP intervention supports implementation of Result Based Financing (RBF) at the level of the Ministry of Health (MoH), District Health Management Teams (DHMT), Medical Bureaus (MB), and private non-for-profit Health Facilities (HF). The intervention is implemented in Rwenzori and West Nile pilot regions of the Republic of Uganda.
RBF is a strategic health service purchasing mechanism that shifts the focus from input-based financing to output-based financing, where health facilities are paid on the basis of their actual output. It also subsidizes fees for patients and provides incentives to health professionals. RBF mechanism allows the health facilities to reinvest the revenue, improve the conditions of operation, and provide new and better quality health services.
At the level of the MoH, the intervention supports establishment and operation of the National RBF Unit within the Department of Planning and Policy, and development of the National RBF Framework. At the level of DHMT and MB, the intervention supports implementation of mentorship, supervision, and internal audit activities. At the level of health facilities, the intervention supports improvement of general management practices, quality and accessibility of services.