June 15, 2010
10:00-11:30am
G7-161 | 
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Discussants:
Gyuri Fritsche
Senior Health Specialist, RBF Team, World Bank Chair:
Petra Vergeer
Health Specialist, RBF Team, World Bank Please RSVP to asocorro@worldbank.org Presentations: PBF in the Public Sector in Low-Income Countries: A Cumulative Knowledge Process
Bruno Meessen, Health Economist, International Tropical Medicine Institute Antwerp Performance of public health sectors in many low-income countries is low and there is a growing interest in PBF as a strategy to improve this performance. Integrating PBF in the public system raises several issues. The presenter will share his own experience with piloting and scaling up PBF in the public health sectors of low-income countries, reviewing the experiences in Cambodia, Rwanda and Burundi, where he has been a consultant and researcher. By linking experiences in the three countries of focus, he will identify some important lessons and show how the body of knowledge is growing in a cumulative process. He will highlight how PBF challenges public health systems, but may also contribute to health system strengthening and public sector reform in LICs. NGO Perspective on PBF in Low-Income Countries
Piet Vroeg, Senior Program Officer Health and Well Being for the African Great Lakes Region, CORDAID CORDAID is a Dutch development organization that has been implementing PBF pilot projects in the Great Lakes Region since 2002. The first PBF pilot project was introduced in the province of Cyangugu, Rwanda, an initiative that later became national policy. The presenter will share how the pilot was designed, implemented and evaluated. He will elaborate how experiences from different pilot projects suggest that PBF seems to work best when a number of principles are adhered to; getting the mix right is what matters most. He will emphasize that PBF pilot projects have to be designed carefully to ensure adequate size and complexity to learn lessons, to estimate costs, and to ascertain change at different levels in the results chain. About the Presenters: Bruno Meessen is a health economist (M.A., PhD). He worked as a health economist with Médecins Sans Frontières and then joined the Institute of Tropical Medicine, Antwerp, Belgium. His expertise is in health sector reform, health care financing and pro-poor strategies in low- and middle-income countries with a current regional focus on South-East Asia and sub-Saharan Africa. He has been a key contributor in the introduction, design, evaluation and scaling up of PBF in Rwanda and is one of the coordinators of the newly established African PBF Community of Practice (COP). He is also one of the founding members of the "Incentives for Health Provider Performance Network", a group of experts and researchers whose main objective is to boost information sharing on experiences that involve a significant revision of incentives faced by health care providers in low-income countries. His research portfolio focuses on new institutional economic analysis applied to public health sector in low-income countries, health care financing schemes and PBF. Piet Vroeg is a medical biologist (MSc.) and development practitioner. After a brief career as researcher on malaria and bilharzia, he worked with Médecins Sans Frontières and then became a wildlife manager in Brazil. Since 2006 he has worked for CORDAID, a Dutch development organization and is responsible for its health programs in the African Great Lakes Region. He specializes in piloting PBF projects in health care and linking them to national policy processes. His projects are designed to create successful partnerships between public institutes and civil society, key to sustainable health care systems that provide good quality care for all.
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