Mar 13, 2017

MCDI awarded contract as the "External Evaluation Agency" for World Bank Performance-Based Financing Health Sector Support Project in the Central African Republic

Medical Care Development International (MCDI) is pleased to announce the award of a one year contract as the External Evaluation Agency (EEA) for the Health System Support Project (PASS) in the Central African Republic (CAR) implemented by the Government of the CAR with funding from the World Bank. Under PASS, the Government of the CAR is introducing performance-based financing (PBF) in targeted regions to strengthen the delivery of health services.

PBF is an innovative, results-oriented approach to incentivize health providers based on their achievement of predetermined quantitative and qualitative performance targets. MCDI’s role as the EEA is to counter verify data prior to the payment of PBF incentives.

Counter verification is necessary to ensure the veracity of quantitative and qualitative data being claimed by the reference hospitals, health centers, health administrations at the health districts, Regional Health districts and structures at the central level of the Ministry of Health and Population and as reported by the Performance Purchasing Technical Assistance (PPTA) team which has been recruited and appointed by the PASS.

The EEA will identify structures, districts or regions that produce both excellent and poor results and analyze the causes of these outcomes. Operational research will be conducted on the successes and failures of the different strategies of health centers, health districts and the PPTA in order to inform future innovations.

Over the course of one year, quarterly reports will be published with results cross-checked against declared data, an analysis of the strengths and mistakes of the project, the performance of the PPTA and the central services, along with suggestions for improvement.

MCDI a été attribué un contrat en tant qu’«Agence d’Evaluation Externe» pour le projet d’Appui au Système de Santé (PASS) en République d’Afrique Centrale

Medical Care Development International (MCDI) est heureuse d’annoncer l’attribution d’un contrat d’un an en tant qu’Agence d’Evaluation Externe (AEE) pour Projet d’Appui au Système de Santé (PASS) financé par la Banque Mondiale qui introduire le Financement Basé sur les Résultats (FBR) dans les régions ciblées et vise à renforcer les services de santé. Le Gouvernement envisage de mettre en œuvre des approches innovantes du FBR avec d’autres interventions adaptées au contexte actuel du pays et au contexte spécifique de la zone du projet.

L’organisation de la mission de contre vérification (Agence d’Evaluation Externe - AEE) vise à s’assurer de la véracité des données quantitatives et qualitatives vérifiées dans le cadre du financement basé sur la performance dans les zones ciblées du PASS en RCA, et de vérifier les progrès et résultats obtenus par les l’Agence d’Achat de Performance et de Renforcement des Capacités (AAPRC) recrutés et les services désignés par le niveau central.

Les AEE sont aussi demandés d’identifier (avec la CTN-PBF) les structures, districts ou régions qui produisent de vrais très bons résultats ou de très mauvais résultats et d’analyser le pourquoi. Ainsi l’objectif est de tirer de leçons des vrais bons et mauvais résultats. Ce volet concerne quelque sorte de la recherche action sur des succès et des échecs des différentes stratégies des FOSA, district et AAPRC.

L’AEE produiras quatre rapport trimestriel de la mission de contre vérification, comprenant des résultats de la contre vérification et les analyses des points forts et erreurs commises, les indicateurs de la performance des AAPRC et des services désignés du niveau central ainsi que des propositions d’amélioration.


The international division of Medical Care Development, MCDI was founded in 1977 with the belief that MCD’s successful approach to health systems development in the rural United States could be adapted to meet the needs of developing nations. A global non-profit organization, MCDI uses ppractical, evidence-based and high-impact approaches to strengthen health systems in developing countries. For 40 years, MCDI has worked to improve the health of vulnerable populations overseas through integrated, sustainable and locally-driven interventions. MCDI has implemented public health programs in over 40 countries aimed at targeting the world’s most vulnerable populations. MCDI collaborates with donors, national governments, the private sector, health agencies, communities and local stakeholders to improve health and save lives in the following areas: malaria control; maternal, neonatal and child health; water, sanitation and hygiene; tuberculosis; HIV/AIDS; and other communicable diseases.

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