Institutional Foundations to Improve Services For Health

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While considerable donor financing is provided to the health sector in Liberia, government and partners agree that despite reasonably good plans, implementation has been slow or constrained. Maternal and neonatal mortality and poor access to adolescent health care remain challenges, in addition to a continued weak health infrastructure, including that for undergraduate and postgraduate medical education. Formal and informal discussions with different key stakeholders point to significant governance and institutional weaknesses that challenge implementation, that in turn, persistently delay achievement of expected results. This project is designed to finance both necessary inputs in priority areas (selected infrastructure, medical education, community health assistants, and community-based work with adolescents), performance-based financing in selected hospitals and counties, and incentive an improved governance and institutional system through a results-based approach. Liberia is currently receiving adequate support for strengthening systems and capacity building for surveillance and response to disease outbreaks, and hence this will not be a focus of the proposed new operation.