It aimed to improve the quality of care, strengthen transparency in resource management, and contribute to the empowerment of vulnerable women.

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Components / Objectives

The intervention was based on four complementary axes:

1. strengthening of medical and psychosocial services;
2. legal and judicial support for beneficiaries;
3. socio-economic reintegration and empowerment;
4. advocacy for the promotion of rights and the fight against sexual violence.

The first component integrated the establishment of a PBF (performance-based financing) mechanism applied to the SVS Service.

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Expected Services

The mission consisted of:

1. analyzing the conditions for implementing a performance-based purchasing mechanism adapted to the Panzi context;
2. proposing a performance framework, methodology, and verification tools;
3. supporting MdM-BE in implementing the mechanism within the service.

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Services Provided

At the end of the mission, several key results were achieved:

1. completion of a comprehensive analysis of the performance-based purchasing mechanism;
2. development of an operational performance framework;
3. presentation of results to stakeholders;
4. capacity building of the implementation team.

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Deliverables and Products

The mission produced:

1. a final consultancy report;
2. a provisional version and a final version of the performance framework;
3. a concise manual for applying the mechanism.

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Lessons Learned

The mission highlighted the importance of:

1. complementarity between MdM-BE, the Panzi Foundation, Panzi Hospital, and the 8th CEPAC;
2. transparency and quality induced by performance-based financing;
3. credible verification teams to ensure accountability;
4. strengthening local capacities to ensure the sustainability of the mechanism.

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Country and Coverage Area

Democratic Republic of Congo – South Kivu Province.

The program covers eight territories: Kalehe, Kabare, Mwenga, Shabunda, Walungu, Idjwi, Uvira, and Fizi.

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Implementation Period

From October 16 to November 6, 2017.

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Client

Médecins du Monde Belgium (MdM-BE), in partnership with the Panzi Foundation and Panzi General Referral Hospital.

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Funding / Donors

European Union – DG DEVCO (International Cooperation and Development).

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Areas of Intervention / Themes

1. Public health and hospital governance
2. Sexual violence and gynecological pathologies
3. Performance-based financing (PBF)
4. Legal and judicial support
5. Socio-economic reintegration and empowerment
6. Advocacy and human rights