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Components / Objectives

The project aimed to implement nutrition-specific and nutrition-sensitive interventions, structured around three main components:

1. Nutrition and early childhood development interventions.
2. Governance and management of nutrition.
3. Project management.

➡️ The third sub-component of Component 1 focused on Results-Based Financing (RBF) applied to nutrition within the public health sector.

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Expected Services

The consultancy mission initially had 12 objectives, including:

1. Draft, present, and validate a mission methodology document.
2. Analyze and improve the collaboration mechanism between UGP-PMNDPE and STASS (ex-CTN-FBP).
3. Facilitate the selection of the pilot RBF zone and verification / counter-verification agencies.
4. Integrate new indicators (child protection, civil registration, food security, food and environmental hygiene, empowerment, and community structure development) into the national community health package.
5. Draft and validate contracting procedures for key community actors, as well as procedures for verification, counter-verification, invoicing, and payment.
6. Develop annex tools for the community RBF implementation manual.
7. Analyze the budget and produce a multisectoral costing tool for the pilot experience.
8. Highlight expenditures by component (subsidies, Minimum Package of Activities per eligible community structure, training cascades, quality bonuses, contracting and performance verification, counter-verification, supervision and evaluation, payment system management, technical assistance, investments, and UGP-PMNDPE operating costs).
9. Propose tariffs for RBF community indicators.
10. Organize workshops and validation sessions for documents, tools, and costing.
11. Submit progress reports and the final mission report before March 29, 2024.

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Services Delivered

Following adjustments with UGP-PMNDPE, SE-CONNAPE, STASS, and UCPS-BM, the consultant provided:

1. A validated methodology document.
2. Integration of community indicators (nutrition, gender, hygiene, empowerment).
3. Drafted and validated procedures for contracting, verification, and payments.
4. Annex tools to the community RBF manual.
5. A multisectoral costing tool for the pilot RBF experience.
6. Detailed expenditure breakdowns by component.
7. Proposed tariffs for RBF community indicators.
8. Organization of validation workshops.
9. Timely submission of progress and final reports.

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Deliverables and Outputs

1. Inception report.
2. Operationalization manual.
3. List of harmonized RBF community indicators.
4. Costing tools (electronic format).
5. Index tools (electronic format).
6. Final consultancy report.
7. Descriptive sheets of harmonized RBF community indicators.
8. Declaration, verification, and validation guide for quantitative indicators.
9. FRANC quality evaluation grid.
10. CLP/FRANC contract model.
11. Workshop report on validation of the manual and annex tools.
12. Subsidy calculation table (electronic version).

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Lessons Learned

1. The concept of unpaid volunteerism in community interventions is not well-accepted. Introducing financial and non-financial performance incentives increases accountability and volunteer engagement.
2. The involvement of FRANC facilitators and sub-prefectural regulators in defining the service basket and tools for community RBF is a key success factor.
3. Leadership and commitment of PMNDPE’s top management (particularly the Project Manager) were decisive in overcoming challenges.
4. Autonomous fund management by local community structures (CLP/FRANC) remains questionable due to governance issues. Solutions identified include:
   1. Involving subsidy beneficiaries in defining secure payment mechanisms.
   2. Building on past experiences (secure mobile money, AVEC savings boxes with three keys, wide communication of fund transfers).
   3. Establishing a strong monitoring, evaluation, and sanction system.

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Country and Coverage Areas

1. Country: Côte d’Ivoire
2. Regions: 14 Administrative Regions located in the North, North-East, North-West, Center, Center-East, and Center-West.

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Implementation Period

1. Duration: December 2023 – March 2024

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Client

PMNDPE Project Management Unit (UGP-PMNDPE)

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Funding / Donors

International Development Association (IDA)

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Areas of Intervention / Themes

1. Nutrition and early childhood development
2. Public health and community interventions
3. Governance and management of nutrition
4. Capacity building and leadership
5. Action-research, monitoring, and evaluation