Service Delivery
Financing primary healthcare for results
Health Financing · PFM · Service Delivery
PFM Solutions
Challenge
Primary healthcare financing depends not only on the amount allocated but also on whether budget structures, payment processes, financial controls and reporting arrangements allow resources to reach and support frontline services.
Contribution
PFM Solutions' work has included multi-year UHC budget and expenditure analysis, output-oriented budgeting, primary-healthcare financial-management diagnostics, internal-control assessment at basic health units, and work on expenditure and payment arrangements.
Approach
- Analysed UHC budgets and expenditure over multiple years
- Linked financial inputs with service outputs
- Reviewed business processes and controls at frontline health-facility level
- Supported work on automated / online bill-processing arrangements
- Developed analytical and policy recommendations spanning federal and provincial health systems
How the pieces connect
Government budgets
PFM systems
Frontline health facilities
Policy / implementation relevance
The work strengthens the connection between what government budgets, how resources move through public financial-management systems and what frontline health facilities are expected to deliver.