Health System Performance Strengthening Project

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The development objective of the Health System Performance Strengthening Project for Chad is to improve the utilization and quality of service delivery of essential health services with a particular focus on reproductive, maternal, child and adolescent health, and nutrition (RMNCAH-N) services for the population of Chad in project-supported areas. The project comprises of four components. The first component, scaling up performance-based financing (PBF) for better health service delivery consists of following sub-components: (i) performance-based payments; and (ii) subsidies for free care. The second component, strengthening service delivery readiness to deliver quality (RMNCAH-N) services will complement output-based investments from component 1 with input-based support to address salient bottlenecks to the delivery of quality health services identified earlier. It consists of following sub-components: (i) strengthening health facilities’ readiness for service delivery; (ii) strengthening community platforms for service delivery; (iii) technical assistance (TA) for health system strengthening; and (iv) support to build Chad’s civil registration and vital statistics (CRVS) system. The third component, project management and verification of results will cover the project’s management costs and finance the verification and quality evaluation of results under the PBF component. It consists of following sub-components: (i) project management; and (ii) verification and supervision of PBF. The fourth component, contingent emergency response component will allow a rapid reallocation of project resources in the event of a natural or artificial disaster or crisis that has caused, or is likely to imminently cause, a major adverse economic and or social impact.