Benin - Health, Nutrition and Population : Health and Poverty Analytical Report
This study is a continuation of the previous sector review, conducted in 2004. The 2008 review had two main objectives. This review is primarily an update on the situation. In its development strategy, Benin gave considerable importance to the heal...
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| Format: | Other Health Study |
| Language: | English |
| Published: |
World Bank
2012
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| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000386194_20110701045156 http://hdl.handle.net/10986/3207 |
| Summary: | This study is a continuation of the
previous sector review, conducted in 2004. The 2008 review
had two main objectives. This review is primarily an update
on the situation. In its development strategy, Benin gave
considerable importance to the health of its population.
This effort is part of the long-term vision of the country.
Improving health status, especially for the poor, is one of
eight strategic directions for that vision. Similarly, on a
more operational level, this objective is reflected in the
current Growth Strategy for Poverty Reduction (GPRS
2007-2009). Benin is particularly committed towards the
Millennium Development Goals, including 3 on the health
sector. This review was also an opportunity to further
analyze the constraints in the health system, consistent
with the new strategy Health Nutrition and Population World
Bank, Strategy adopted in 2007. But this exercise was not
intended merely to be analytical. It also aimed to enrich
the political dialogue between, on one hand, the actors in
health and, secondly, the World Bank and other development
partners. This effort relates more specifically to some
themes such as governance, private sector involvement and
alignment of partners' efforts (called technical and
financial partners in Benin or PTFs). From this perspective,
the journal is also a contribution to Benin's efforts
to advance the IHP (International Health Partnership Plus).
This initiative is now the main tool for implementing the
Paris Declaration. In practice, the journal has sought to
contribute to the consensus between the Ministry of Health
and the donor group on the diagnosis of the health system
and the changes needed to strengthen it. Several guidelines
have emerged stronger from this discussion, particularly in
the area of governance of the health system. Beyond the
reinforcement of the various components of the health
system, two fundamental principles should guide the
transformation of this system: 1) A principle of corporate
governance: through decentralization of the health system,
health facilities must have their basic needs better taken
into account (hence the need for bottom-up planning) and
especially as more independent financially administrative;
and 2) A principle of individual governance: health workers
should be strongly encouraged to improve their performance
(competence, productivity and compliance of patients). Given
the limited success of measures to strengthen inspections
and other controls "top-down, this incentive can only
come from clients, either directly (i.e., bonuses based on
cost recovery), or preferably indirectly with a mechanism
for payment by results funded by the state and possibly partners. |
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