It contributed to:

1. Guaranteeing access to quality holistic care (medical, psychosocial, legal, and socio-economic).
2. Strengthening governance and transparency through a performance-based financing mechanism.
3. Promoting empowerment and reintegration of vulnerable women in Eastern DRC.

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Components / Objectives

The project sought to improve holistic care for survivors of sexual violence and women suffering from gynecological pathologies.

It was structured around four components:

1. Development and strengthening of medical and psychosocial support at Panzi Hospital.
2. Legal and judicial assistance for beneficiaries.
3. Socio-economic reintegration and empowerment of women.
4. Advocacy for the promotion of rights and the fight against sexual violence.

The first component focused on Performance-Based Financing (PBF) to support medical and psychosocial care.

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Expected Services

The consultancy mission had three main objectives:

1. Produce an analysis on the establishment and implementation of a performance-based purchasing mechanism for the care of survivors of sexual violence and women with gynecological pathologies at Panzi Hospital.
2. Propose a performance framework including methodology, associated tools, verification and counter-verification teams, and control periodicity.
3. Support MdM-BE in setting up and implementing the performance-based purchasing mechanism.

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Services Delivered

By the end of the mission, the following results were achieved:

1. An analysis of the establishment and execution of a performance-based purchasing mechanism at Panzi Hospital was completed.
2. A performance framework for applying the purchasing mechanism was developed.
3. A restitution meeting was held with stakeholders.
4. A capacity-building session for the implementation team of the performance-based purchasing mechanism was organized.

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Deliverables and Outputs

The consultancy mission produced the following instruments and tools:

1. Final mission report.
2. Draft version of the performance framework for purchasing.
3. Final version of the performance framework for purchasing.
4. A concise manual on the application of the performance-based purchasing mechanism.

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Lessons Learned

Several insights emerged from the mission:

1. Institutional complementarity between Médecins du Monde Belgium, the Panzi Foundation, Panzi Hospital, and the 8th CEPAC is a key asset for the success of the mechanism.
2. The use of a performance-based purchasing mechanism promotes transparency, quality of services, and efficient resource utilization.
3. Establishing verification and counter-verification teams is essential to ensure system credibility and accountability.
4. Project success depends on strengthening local capacities and active involvement of field actors.

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Country and Coverage Area

• Country: Democratic Republic of Congo (DRC)
• Province: South Kivu
• Coverage: Eight (08) territories – Kalehe, Kabare, Mwenga, Shabunda, Walungu, Idjwi, Uvira, and Fizi.

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Implementation Period

• Duration: October 16 – November 6, 2017

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Client

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

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Funding / Donors

European Union (Directorate-General 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 assistance
5. Socio-economic reintegration and women’s empowerment
6. Advocacy and human rights