Ondo state has been rated by the World Bank as one of the best in the area of maternal child health service in the country.
Apart from this, the state was also rated high on Performances Based 7 (PBF) in the ongoing Nigeria State Health Investment Project (NSHIP) in the country.
The World Bank representative, Dr. Frish Yuril, who revealed this during the NSHIP Midterm Review (MTR) meeting held in Akure, rated the state highest in performance among the two other states participating in the World Bank assisted project.
Yuril defined PBF as “a form of incentive where health providers are at least partially, funded on the basis of their performance to meet targets or undertake specific actions. It is defined as fee-for-service-conditional-on-quality.”
According to him, the project goal is designed to increase the delivery and use of high impact maternal and child health interventions and improve quality of care at selected health facilities among the participatory states namely, Ondo, Adamawa and Nasarawa states.
He explained that the review was primarily based on “PBF which means autonomy, strengthened supervision and payments based on the quantity and quality of
services; and the Decentralized Facility Financing (DFF) that is, autonomy, strengthened supervision, additional payments not linked to any service delivery: half of the amount PBF received.”
According to him, the NSHIP has improved the coverage of some health services, structural quality of care significantly, reduced Out-Of-Pocket (OOP) expenditure
which are statistically significant in coverage of Penta 3 immunization of young children, saying that NSHIP facilities, whether PBF or DFF, exhibit better structural quality.
He stated that there was little difference between PBF and DFF in Ondo State, but revealed that there were differences in the Adamawa and Nasarawa states especially on process quality and institutional deliveries.
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