(Paynesville, Liberia – April 1, 2025)—The Performance-Based Financing Unit of the Ministry of Health is rolling out training and orientation for county health supervisors, District Health Officers (DHOs), and selected hospitals and health facilities with high-burden maternal and child health issues in Montserrado County. The training, which began on March 31, 2025, is scheduled to run until April 19, 2025 in a phased approach. Phase one runs from March 31 – April 4, phase two from April 7 – 11, and phase three from April 14 – 19, 2025.
Training sessions are being concomitantly conducted at the Liberia Learning Center in Paynesville, the Montserrado County Health Team (CHT) Conference Hall, and conference rooms of selected hospitals and health centers. The goal of the training is to enhance participants’ knowledge of the PBF program, equipping them with the skills to operate in compliance with the PBF guidelines and strengthen overall healthcare service delivery. Participants are expected to gain proficiency in PBF tools and their application in improving healthcare quality and efficiency. The training brought together service providers from selected hospitals and health centers, as well as key health officials responsible for implementing and monitoring district-level health programs.
Discussions covered key PBF principles, including funding allocation, performance metrics, reporting standards, and accountability measures. Participants also engaged in practical sessions to address challenges and opportunities in PBF implementation, fostering an exchange of best practices for data-driven decision-making.
At the opening session, Mr. Matthew T.K. Flomo, Manager of the World Bank’s Project Implementation Unit (PIU), explained PBF’s importance in fostering efficient and accountable health systems. “Performance-based financing ensures resources directly translate into better service delivery,” he stated. “This orientation empowers supervisors and DHOs to maximize PBF’s impact in their districts”
Madam Vera Mussah, providing an overview, emphasized PBF’s alignment with Liberia’s national health priorities.
“Understanding PBF enables officials to allocate funds effectively, addressing community needs while promoting transparency and accountability. “These are public funds—not personal entitlements—and must be managed with accountability.” Dr. Jewel Tarpeh Kollie, Montserrado County Health Officer, reaffirmed the county’s commitment to PBF success. “Our priority is ensuring health facilities and staff leverage PBF resources to deliver quality care,” she affirmed. The orientation follows a March 13, 2025, inception meeting with the Montserrado County Health Team, which laid the groundwork for expanding the PBF program in the county.
The PBF rollout training is an extension of Liberia’s Performance-Based Financing initiative, which was first adopted in 2008 as part of post-war health system reforms. The program, supported by the IFISH/ World Bank Project, has been successfully implemented in the Bomi, Gbarpolu, Grand Kru, Maryland, Rivercess, and Sinoe counties. Building on the successful implementation of the program, the MOH’s Neglected Tropical Disease program is also being pilot-tested at these selected facilities with funding support from ANESVAD and Effect Hope Through the leadership of the Minister of Health, Dr. Louise Kpoto, the PBF program is now expanding to Montserrado, to strengthen the healthcare systems and improve quality health care, specifically Reproductive Maternal Neonatal Child Adolescent Health ( RMNCAH); by linking funding to measurable performance targets, ensuring greater efficiency, quality, and accountability in service delivery.