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In 2012, SDSH supported MSPP to conduct a cost and revenue analysis for the basic<br />

package of essential health services in Haiti. This effort was designed to help the MSPP<br />

understand the actual costs of basic health services, and to provide a rationale for<br />

evidence-based budgeting and fi nancing and management of health care service delivery<br />

through performance-based contracting mechanisms. The Leadership, Management and<br />

Governance (LMG) project, which is also funded by USAID and implemented by MSH,<br />

began in 2012 and is supporting the MSPP to roll out nation-wide PBF and enable the<br />

public sector to improve social services through results-based management.<br />

Resources and capacity at the departmental level vary greatly, but SDSH saw<br />

improvements in most areas. By late 2012, seven (one more than the six originally<br />

targeted) health departments had a mechanism to coordinate donors in their jurisdiction,<br />

nine of the ten departments had implemented service-delivery supervision plans, and 100<br />

percent of the ten departments were implementing their approved operational plan.<br />

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