Impact of Performance‐Based Financing on effective coverage for curative child health services in Burkina Faso: Evidence from a quasi‐experimental design

Jean‐Louis Koulidiati; Manuela De Allegri; Julia Lohmann; Michael Hillebrecht; Joel Arthur Kiendrebeogo; Saidou Hamadou; Hervé Hien; Paul Jacob Robyn; Stephan Brenner

doi:10.1111/tmi.13596

journal article Open Access May 16, 2021

Impact of Performance‐Based Financing on effective coverage for curative child health services in Burkina Faso: Evidence from a quasi‐experimental design

Jean‐Louis Koulidiati Manuela De Allegri

Julia Lohmann

Michael Hillebrecht Joel Arthur Kiendrebeogo Saidou Hamadou Hervé Hien Paul Jacob Robyn Stephan Brenner

Tropical Medicine & International Health Vol. 26 No. 8 pp. 1002-1013 · Wiley

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Abstract

AbstractObjectiveTo evaluate the impact of Performance‐Based Financing (PBF) on effective coverage of child curative health services in primary healthcare facilities in Burkina Faso.MethodsAn impact evaluation of a PBF pilot programme, using an experiment nested within a quasi‐experimental design, was carried out in 12 intervention and 12 comparison districts in six regions of Burkina Faso. Across the 24 districts, primary healthcare facilities (537 both at baseline and endline) and households (baseline = 7978 endline = 7898) were surveyed. Within these households, 12 350 and 15 021 under‐five‐year‐olds caretakers were interviewed at baseline and endline respectively. Linking service quality to service utilisation, we used difference‐in‐differences to estimate the impact of PBF on effective coverage of curative child health services.ResultsOur study failed to detect any effect of PBF on effective coverage. Looking specifically into quality of care indicators, we detected a positive effect of PBF on structural elements of quality of care related to general service readiness, but not on the overall facility quality score, capturing both service readiness and the content of childcare.ConclusionThe current study makes a unique contribution to PBF literature, as this is the first study assessing PBF impact on effective coverage for curative child health services in low‐income settings. The absence of any significant effects of PBF on effective coverage suggests that PBF programmes require a stronger design focus on quality of care elements especially when implemented in a context of free healthcare policy.

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References

42

[1]

Eichler R

[2]

FritscheGB SoetersR MeessenB.PBF Toolkit. Washington DC;2014.

[3]

10.1186/s12913-015-1033-7

[4]

10.1016/s0140-6736(11)60177-3

[5]

10.1016/j.socscimed.2014.11.004

[6]

10.1093/heapol/czt047

[7]

10.3329/jhpn.v28i3.5556

[8]

10.1371/journal.pone.0135013

[9]

10.1186/1471-2458-14-1132

[10]

10.1111/j.1365-3156.2009.02292.x

[11]

10.1377/hlthaff.2009.0019

[12]

WHO (2015)

[13]

Witter S "Paying for performance to improve the delivery of health interventions in low‐ and middle‐income countries" Cochrane Database Syst Rev (2012)

[14]

10.1186/s12889-016-2982-4

[15]

10.1016/s2214-109x(20)30104-2

[16]

10.1093/heapol/czw045

[17]

10.1186/s12960-017-0208-1

[18]

Savedoff WD (2010)

[19]

10.1016/j.ssmph.2017.01.001

[20]

Santé M (2013)

[21]

10.1186/s12913-019-4558-3

[22]

Service d'information du gouvernement: Gratuité des soins pour les enfants de moins de cinq ans: Une réalité au Burkina Faso à partir du 02 avril 2016. Ouagadougou Burkina Faso;2016.

[23]

10.1136/bmjopen-2017-020423

[24]

10.1016/j.socscimed.2004.12.019

[25]

10.1001/jama.1988.03410120089033

[26]

10.1111/tmi.13140

[27]

10.1162/003355304772839588

[28]

10.1162/rest_a_00639

[29]

10.1162/rest_a_00552

[30]

10.1515/9781400829828

[31]

A Practitioner’s Guide to Cluster-Robust Inference

A. Colin Cameron, Douglas L. Miller

The Journal of Human Resources 10.3368/jhr.50.2.317

[32]

10.1146/annurev-publhealth-040617-013507

[33]

Tanahashi T "Health service coverage and its evaluation" Bull World Health Organ (1978)

[34]

10.1093/heapol/czaa062

[35]

DeAllegriM LohmannJ KoulidiatiJ‐L SoméP‐A.Qualitative research to explain and unpack quantitative findings from the PBF impact evaluation in Burkina Faso. Results Report2019.

[36]

Gergen J "Quality of care in PBF: how it is incorporated in 32 programs across 28 countries" Global Health Sci Pract (2017)

[37]

Ridde V "Twelve months of implementation of health care performance‐based financing in Burkina Faso: A qualitative multiple case study" Int J Health Plann Mgmt (2017)

[38]

10.34172/ijhpm.2020.61

[39]

Ministère de la santé: Stratégie nationale de mise en œuvre de la gratuité des soins et des services de planification familiale. Février2019. Ouagadougou Burkina Faso.

[40]

10.3917/polaf.156.0083

[41]

10.1371/journal.pone.0081089

[42]

Larson E "Beyond utilization: measuring effective coverage of obstetric care along the quality cascade" Int J Qual Health Care (2017)

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References

Details

Published: May 16, 2021
Vol/Issue: 26(8)
Pages: 1002-1013
License: View

Authors

J

Jean‐Louis Koulidiati

Heidelberg Institute of Global Health University Hospital and Faculty of Medicine Heidelberg Germany

M

Manuela De Allegri

Heidelberg Institute of Global Health University Hospital and Faculty of Medicine Heidelberg Germany

J

Julia Lohmann

Department of Global Health and Development London School of Hygiene & Tropical Medicine London UK

M

Michael Hillebrecht

Deutsche Gesellschaft für Internationale Zusammenarbeit GmbH Bonn Germany

J

Joel Arthur Kiendrebeogo

Université Joseph Ki‐Zerbo Ouagadougou Burkina Faso

S

Saidou Hamadou

The World Bank Washington DC USA

H

Hervé Hien

Centre MURAZ Bobo‐Dioulasso Burkina Faso

P

Paul Jacob Robyn

The World Bank Washington DC USA

S

Stephan Brenner

Heidelberg Institute of Global Health University Hospital and Faculty of Medicine Heidelberg Germany

Cite This Article

Jean‐Louis Koulidiati, Manuela De Allegri, Julia Lohmann, et al. (2021). Impact of Performance‐Based Financing on effective coverage for curative child health services in Burkina Faso: Evidence from a quasi‐experimental design. Tropical Medicine & International Health, 26(8), 1002-1013. https://doi.org/10.1111/tmi.13596

Impact of Performance‐Based Financing on effective coverage for curative child health services in Burkina Faso: Evidence from a quasi‐experimental design

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