Haiti Study Tour: Recognizing Health Progress

Haiti Study Tour: Recognizing Health Progress

 {Photo credit: Maureen Taft-Morales/Haiti}A community health worker visits a family and records health data.Photo credit: Maureen Taft-Morales/Haiti

This post is part of MSH's Global Health Impact Blog series, Improving Health in Haiti: Remember, Rebuild.

Management Sciences for Health (MSH) sponsored a Congressional Staff Study Tour in Port-au-Prince, Haiti, in December 2014 to help staffers get a first-hand account of health progress in Haiti. The overarching focus of the trip was how US government funded health efforts in Haiti are being leveraged for health impact and the role of the Haitian government in that process. 

The five-year anniversary of the Haitian earthquake (January 12) has brought the country's rebuilding efforts to the forefront of international development conversations again. Unfortunately, much of the post-earthquake development dialogue has focused on the setbacks and delays of large-scale infrastructure and rebuilding projects without considering sectors such as health that have made relative progress. Greater awareness is needed among US decision makers and the press to disaggregate the good from the bad and to recognize the Haitian Ministry of Public Health and Population’s health systems progress in partnership with organizations like MSH.

The staffers had a packed schedule each day (Recaps: Day 5, Day 4, Day 3, Day 2, Day 1). Through meetings with local leaders and implementers, tours of US and non-US supported project sites, and visits to local health facilities and communities, the trip  demonstrates the work still to be done while celebrating the progress made to achieve a healthy future in Haiti. Some activities of note included meetings with the Haitian Minister of Public Health and Population, the US Ambassador to Haiti, and US Agency for International Development (USAID)/Haiti staff and site visits to an urban community health center, multi-drug resistant tuberculosis (MDR-TB) hospital, and the State University of Haiti Hospital (HUEH). (For the full schedule, click here).

Haiti Study Tour in Photos

More from the Haiti Study Tour blog

{Photo credit: Crystal Lander/MSH.}Photo credit: Crystal Lander/MSH.

What is a Community Health Center (CHC) Anyway?

[A community health worker weighs a baby.] {Photo credit: Crystal Lander/MSH}A community health worker weighs a baby.Photo credit: Crystal Lander/MSH

Walk a Mile in Her Shoes

Why Study Tours Matter

Learning trips like this one are key for global health advocacy: they educate and engage Congress on global health issues and provide staffers with the opportunity to witness US development investments firsthand.

Next Steps: Haiti Health Summit: January 29

Now that we’ve returned, we are building on the knowledge gained and lessons learned from the tour to host debrief meetings with the NGO community and on Capitol Hill, including hosting with partners a full-day policy summit on Haiti’s health progresses, followed by a reception celebrating Haitian culture, collaboration, and future of health in Haiti.

We hope you can join us for the January 29 summit and reception in Washington, DC.


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Ariyo Oluwatosi...
ONDO STATE PERFORMANCE BASED FINANCING (PBF) Performance-Based Financing is a health systems approach with an orientation on results defined as quantity and quality of service outputs. This approach entails making health facilities autonomous agencies that work for the benefit of health related goals and their staff. It is also characterized by multiple performance frameworks for the regulatory functions, the performance purchasing agency and community empowerment. Performance-Based Financing applies market forces but seeks to correct market failures to attain health gains. PBF at the same time aims at cost-containment and a sustainable mix of revenues from cost-recovery, government and international contributions. PBF is a flexible approach that continuously seeks to improve through empirical research and rigorous impact evaluations which lead to best practices (PBF Manual 2014) Results-Based Financing (RBF) is a term which encompasses the entire family of incentive approaches, both on the supply-side, and on the demand-side. PBF is a sub-set of RBF, and is classified as a specific RBF strategy which focuses on the cash based incentives. Performance based financing is a health system approach intended to strengthen the existing health system in the state. It is an approach that celebrates results rather than input. Prior to the introduction of performance based financing approach, health workers in the state, apart from their take-home salary, have nothing else to encourage them for their various contribution towards the development of health system in the state, there was no form of motivation. Performance based financing, while celebrating results, also appreciates individual health workers who have participated in the results achieved by the health facility.

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