Policy Dialogue: PFM as enabler of greater health facility autonomy
![Policy Dialogue Health Feature Image](https://www.cabri-sbo.org/uploads/imager/www_cabri-sbo_org/uploads/files/Policy-Dialogue-Health-Feature-Image_60e3ccb6126d2d1cf74eeac5c6bc7b7d.png)
The CABRI Policy Dialogue will bring together ministries of finance, ministries of health, and, where appropriate, ministries of local government to reach a shared understanding of how each can support facility autonomy. More specifically, the Policy Dialogue aims to:
- Provide a shared understanding and common language of what facility autonomy is, what problems it aims to resolve, prerequisites, different models of implementation and the benefits and challenges.
- Outline where in the PFM system there might be bottlenecks to increasing financial autonomy, and understand how to mitigate the risks of increasing financial autonomy at the facility level.
- Create a basis for improved dialogue and collaboration between the stakeholders going forward to strengthen health service delivery at facility level.
Programme
Programme
(394.05 KB)
Background paper
Background Paper
(610.127 KB)
Presentations
Day 1 - Programme overview and objectives
(3.613 MB)
Day 1 - Findings of the Lancet Commission on Financing Primary Healthcare
(2.454 MB)
Day 1 - Towards a typology of financial autonomy of PHC facilities in LMIC
(365.694 KB)
Day 1 - Status of facility autonomy in Burkina Faso, Indonesia, Philippines, Kenya and Uganda
(878.742 KB)
Day 1 - PHC facility financing and the Uganda Intergovernmental Fiscal Transfers Programme
(451.636 KB)
Day 1 - Using the problem-driven iterative adaptation approach to support facility autonomy in Malawi
(1.156 MB)
Day 1 - Managing the Gratuité and Crédits Délégués programme in Burkina Faso
(466.452 KB)
Day 2 - Intersection of health facility financing and PFM
(1.792 MB)
Day 2 - Overview of provider payment mechanisms and PFM implications
(772.116 KB)
Day 2 - Supporting the equity and adequacy of facility budget allocations in South Africa
(380.275 KB)
Day 2 - Sequencing of autonomy and financial management capacity constraints and needs of facilities
(199.18 KB)
Day 3 - Adopting a risk-based approach to expenditure controls
(466.088 KB)
Day 3 - Facility Financial Accounting and Reporting System (FFARS) in Tanzania
(1.226 MB)
Speakers
![](https://www.cabri-sbo.org/uploads/imager/www_cabri-sbo_org/uploads/files/Danielle-Serebro_2024-08-13-122521_tpot_21758167bacf8ca557c394f7b06900e8.jpg 560w, https://www.cabri-sbo.org/uploads/imager/www_cabri-sbo_org/uploads/files/Danielle-Serebro_2024-08-13-122521_tpot_aeeff9960a84cd79bd85217d305ef820.jpg 480w)
Danielle SEREBRO
Programme Manager, CABRI
![](https://www.cabri-sbo.org/uploads/imager/www_cabri-sbo_org/uploads/files/Professor-Kara-Hanson_21758167bacf8ca557c394f7b06900e8.jpg 560w, https://www.cabri-sbo.org/uploads/imager/www_cabri-sbo_org/uploads/files/Professor-Kara-Hanson_aeeff9960a84cd79bd85217d305ef820.jpg 480w)
Professor Kara HANSON
Professor of Health System Economics and Dean of the Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine
![](https://www.cabri-sbo.org/uploads/imager/www_cabri-sbo_org/uploads/files/Helene_Barroy_21758167bacf8ca557c394f7b06900e8.webp 560w, https://www.cabri-sbo.org/uploads/imager/www_cabri-sbo_org/uploads/files/Helene_Barroy_aeeff9960a84cd79bd85217d305ef820.webp 480w)
Hélène BARROY
PhD – Senior Public Finance Expert, World Health Organization (WHO)
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Dr Kay BROWN
Executive Secretary, CABRI
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Agnes MUNYUA
Programme Director: Results for Development (R4D)
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Professor Sophie WITTER
Professor of International Health Financing and Health Systems, Queen Margaret University
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Pura Angela WEE-CO
Country Director: Thinkwell Philippines
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Antoine LACROIX
Independent Consultant
![](https://www.cabri-sbo.org/uploads/imager/www_cabri-sbo_org/uploads/files/10.-Raymond-Kiwesa-Direct-Facility-Financing-Coordinator-_PoRALG-_Tanzania_21758167bacf8ca557c394f7b06900e8.jpg 560w, https://www.cabri-sbo.org/uploads/imager/www_cabri-sbo_org/uploads/files/10.-Raymond-Kiwesa-Direct-Facility-Financing-Coordinator-_PoRALG-_Tanzania_aeeff9960a84cd79bd85217d305ef820.jpg 480w)
Raymond KIWESA
Direct Facility Financing Coordinator, PoRALG, Tanzania
![](https://www.cabri-sbo.org/uploads/imager/www_cabri-sbo_org/uploads/files/14.-Simon-Kaye_2024-08-12-170044_tyln_21758167bacf8ca557c394f7b06900e8.jpg 560w, https://www.cabri-sbo.org/uploads/imager/www_cabri-sbo_org/uploads/files/14.-Simon-Kaye_2024-08-12-170044_tyln_aeeff9960a84cd79bd85217d305ef820.jpg 480w)
Simon KAYE
Chief Financial Officer, Western Cape Provincial Department of Health, South Africa
![](https://www.cabri-sbo.org/uploads/imager/www_cabri-sbo_org/uploads/files/15.-Dr-Kamil-Shoretire-Director-of-Health-Planning-Research-and-Statistics-_Federal-Ministry-of-Health-_Nigeria_21758167bacf8ca557c394f7b06900e8.jpg 560w, https://www.cabri-sbo.org/uploads/imager/www_cabri-sbo_org/uploads/files/15.-Dr-Kamil-Shoretire-Director-of-Health-Planning-Research-and-Statistics-_Federal-Ministry-of-Health-_Nigeria_aeeff9960a84cd79bd85217d305ef820.jpg 480w)
Dr Kamil SHORETIRE
Director of Health Planning Research and Statistics, Federal Ministry of Health, Nigeria
![](https://www.cabri-sbo.org/uploads/imager/www_cabri-sbo_org/uploads/files/Tom-Hart_21758167bacf8ca557c394f7b06900e8.png 560w, https://www.cabri-sbo.org/uploads/imager/www_cabri-sbo_org/uploads/files/Tom-Hart_aeeff9960a84cd79bd85217d305ef820.png 480w)
Tom HART
Senior Research Fellow, ODI
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Sèwènan Rodrigue CHAOU
Budget Director, Ministry of Finance, Benin
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Dr Ahmed Mohammed Abdelkader SEYAM
Deputy CEO for Technical Affairs & Director of the Health Economics and Health Systems Research Unit, Universal Health Insurance Authority
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Sheila O’DOUGHERTY
Independent Consultant
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Aisha Isyaku TUKUR
Executive Secretary, Kaduna State Health Supplies Management Agency
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Moritz PIATTI-FÜNFKIRCHEN
Senior Economist, World Bank
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Gemini MTEI
USAID
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Giselle HADLEY
Programme Manager, CABRI