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About pilots and their destiny Dr Andreas Kalk – Director Regional OfficeYaoundé Presentation at the ‘Fachforum’, Bonn, January 2010. Scaling up since 2002 Going across country and sectors, driven by WB Indicator dressing, i.e. ‘gaming’
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About pilots and their destiny Dr Andreas Kalk – Director Regional OfficeYaoundé Presentation at the ‘Fachforum’, Bonn, January 2010
Scaling up since 2002 Going across country and sectors, driven by WB Indicator dressing, i.e. ‘gaming’ Full acceptance as ‘modern management tool’ and intrusive control mechanism of the entire society Let’s perform! 1st: Scaling up PBF in Rwanda
Close to DRF concept, working nicely for decades in 3 Provinces Conceived as channel for SWAp funds in 2008 Political impasse for more than 2 years Legal clearance 12/2010 Administrative issues and inclusion of drug management yet to be clarified Substantial changes likely! 2nd: Provincial funds in Cameroon
Pilots since 1999 GFATM funding since 2005 Increase in ‘coverage’ from marginal to comprehensive Extortion of fees from large population strata Limited services for USD 2/year/family Parastatal setup Unwanted child became showcase Substantial changes took place! 3rd: Scaling Up mutuelles in Rwanda
Pilots do always fine Scaling up requires conformity with political framework Pilot’s technical soundness of very limited relevance It’s all about process and power... Incremental approach is routine, synoptic/rational approach requires: Window of opportunity Eye for that What does that mean?