Health Works Granted Contract Extension for Performance-Based Financing Project in Lesotho

PBF is a results-oriented, health systems strengthening approach that incentivizes health providers (public facilities or individuals) based on their performance and delivery of health services. The consumers of these PBF-verified services in Lesotho are women and newborns, as well as HIV and TB patients. Common elements of PBF include using independent agencies for a purchaser role or management support and having a controller (an intermediary between the purchaser and provider) who validates data and coaches providers for improved performance.

As of 2015, Lesotho's maternal mortality ratio is 487 per 100,000 live births. The neonatal mortality rate dropped slightly from 33.4 per 1000 live births in 2014 to 32.7 per 1000 live births in 2015. 77.9% of births in 2014 were attended by a skilled health professional. These numbers indicate that there is more work to be done in order to strengthen the health service delivery system in Lesotho and PBF just could lead to a further drop of these high mortality rates.