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Twelve months of implementation of health care performance‐based financing in Burkina Faso: A qualitative multiple case study

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  • Valéry Ridde
  • Maurice Yaogo
  • Sylvie Zongo
  • Paul‐André Somé
  • Anne‐Marie Turcotte‐Tremblay

Abstract

To improve health services' quantity and quality, African countries are increasingly engaging in performance‐based financing (PBF) interventions. Studies to understand their implementation in francophone West Africa are rare. This study analysed PBF implementation in Burkina Faso 12 months post‐launch in late 2014. The design was a multiple and contrasted case study involving 18 cases (health centres). Empirical data were collected from observations, informal (n = 224) and formal (n = 459) interviews, and documents. Outside the circle of persons trained in PBF, few in the community had knowledge of it. In some health centres, the fact that staff were receiving bonuses was intentionally not announced to populations and community leaders. Most local actors thought PBF was just another project, but the majority appreciated it. There were significant delays in setting up agencies for performance monitoring, auditing, and contracting, as well as in the payment. The first audits led rapidly to coping strategies among health workers and occasionally to some staging beforehand. No community‐based audits had yet been done. Distribution of bonuses varied from one centre to another. This study shows the importance of understanding the implementation of public health interventions in Africa and of uncovering coping strategies.

Suggested Citation

  • Valéry Ridde & Maurice Yaogo & Sylvie Zongo & Paul‐André Somé & Anne‐Marie Turcotte‐Tremblay, 2018. "Twelve months of implementation of health care performance‐based financing in Burkina Faso: A qualitative multiple case study," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(1), pages 153-167, January.
  • Handle: RePEc:bla:ijhplm:v:33:y:2018:i:1:p:e153-e167
    DOI: 10.1002/hpm.2439
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    1. Lohmann, Julia & Muula, Adamson S. & Houlfort, Nathalie & De Allegri, Manuela, 2018. "How does performance-based financing affect health workers' intrinsic motivation? A Self-Determination Theory-based mixed-methods study in Malawi," Social Science & Medicine, Elsevier, vol. 208(C), pages 1-8.
    2. Naasegnibe Kuunibe & Julia Lohmann & Michael Schleicher & Jean‐Louis Koulidiati & Paul Jacob Robyn & Zambendé Zigani & Adama Sanon & Manuela De Allegri, 2019. "Factors associated with misreporting in performance‐based financing in Burkina Faso: Implications for risk‐based verification," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1217-1237, October.
    3. Yvonne Beaugé & Manuela De Allegri & Samiratou Ouédraogo & Emmanuel Bonnet & Naasegnibe Kuunibe & Valéry Ridde, 2020. "Do Targeted User Fee Exemptions Reach the Ultra-Poor and Increase their Healthcare Utilisation? A Panel Study from Burkina Faso," IJERPH, MDPI, vol. 17(18), pages 1-21, September.
    4. Lohmann, Julia & Koulidiati, Jean-Louis & Robyn, Paul Jacob & Somé, Paul-André & De Allegri, Manuela, 2022. "Why did performance-based financing in Burkina Faso fail to achieve the intended equity effects? A process tracing study," Social Science & Medicine, Elsevier, vol. 305(C).
    5. Michael Hillebrecht & Stefan Klonner & Rainer Sauerborn & Alie Sié & Aurélia Souares, 2021. "The Demand for Health Insurance in a Poor Economy: Evidence from Burkina Faso," Economic Development and Cultural Change, University of Chicago Press, vol. 69(4), pages 1273-1300.

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