One small other point I will add is that this already happens a LOT, through a couple of mechanisms which include (this is just what I’ve seen in Uganda)
Supplementary funding for programs—for example AMF give money to local government health departments to help them distribute nets
Results based funding for government health centers, for example paying the local government providers money for every delievery they do.
Straight programme funding—people like World vision and Save the children sometimes deposit money in local government accounts for implementing / supervision of health programs
I would say this stuff is huge bikkies, but it is ongoing. Personally here in Northern UGanda I’m generally not a big fan of this approach (inefficiency, corruption, money just goes to supplement already largeish salaries) but the idea isn’t bad. In other places it might work better.
Thanks George and Jason all good points
One small other point I will add is that this already happens a LOT, through a couple of mechanisms which include (this is just what I’ve seen in Uganda)
Supplementary funding for programs—for example AMF give money to local government health departments to help them distribute nets
Results based funding for government health centers, for example paying the local government providers money for every delievery they do.
Straight programme funding—people like World vision and Save the children sometimes deposit money in local government accounts for implementing / supervision of health programs
I would say this stuff is huge bikkies, but it is ongoing. Personally here in Northern UGanda I’m generally not a big fan of this approach (inefficiency, corruption, money just goes to supplement already largeish salaries) but the idea isn’t bad. In other places it might work better.