BOX 13.3
Benchmarking Performance in Nigeria PBF In the Nigeria State Health Investment Project (NSHIP), a PBF field test was started in December 2011 in a select district in each of the three project states (Adamawa, Nasarawa, and Ondo). For a comparison of relative performances among those three very different districts, the quantity data were normalized for
populations of 100,000. This normalization was done by adjusting the actual quantity obtained to a population of 100,000. Over seven months, large differences became obvious. One of the three states was clearly underperforming compared to the other two (figure B13.3.1).
FIGURE GURE B13.3.1 PBF Performance in Select Districts in Nigeria, Nigeria December 2011– 2011–June June 2012 b. Institutional deliveries 250
2,000
200
1,500
150
number
number
a. New OPD consultations 2,500
1,000
100
500
50
0
0 Dec Jan Feb Mar Apr May Jun State 1
Dec Jan Feb Mar Apr May Jun State 2
State 3
Source:: Nigeria Performance-Based Financing portal, http://nphcda.thenewtechs.com. Note:: OPD = outpatient department; PBF = performance-based financing. Data are normalized for populations of 100,000. In both panels, data lines are not identified by district.
• Performance benchmarking allows analysis and discussion of the various strategies that have led to better or worse results. Good strategies can subsequently be adopted by others who want to get similar results (for advanced strategies, see chapter 10). In figure 13.2, the y-axis shows the number of deliveries each month, and the x-axis shows various months. Nyaruguru district had 13 health centers, of which Cyahinda health center performed best over a 30-month period. Nyamyumba health center performed worst. The average performance is the Data Analysis and Learning
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