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About pilots and their destiny Dr Andreas Kalk – Director Regional OfficeYaoundé

Explore the journey of pilot projects in health management, from inception to implementation, reflecting on their impact and challenges. Presented by Dr. Andreas Kalk at ‘Fachforum’, Bonn in January 2010. Delve into the transformation and potential of pilot initiatives across different countries and sectors over the years, driven by innovative strategies. Discover the nuances of scaling up, legal matters, administrative complexities, and significant changes in various programs.

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About pilots and their destiny Dr Andreas Kalk – Director Regional OfficeYaoundé

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  1. About pilots and their destiny Dr Andreas Kalk – Director Regional OfficeYaoundé Presentation at the ‘Fachforum’, Bonn, January 2010

  2. 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

  3. 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

  4. 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

  5. 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?

  6. Eg: an excellent pilot

  7. Thank you very much!

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