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Performance-based financing (PBF) in the health sector has recently gained momentum in low- and middle-income countries (LMICs) as one of the ways forward for achieving Universal Health Coverage. The major principle underlying PBF is that health centers are remunerated based on the quantity and quality of services they provide. PBF has been operating in Burkina Faso since 2011, and as a pilot project since 2014 in 15 health districts randomly assigned into four different models, before an eventual scale-up. Despite the need for expeditious documentation of the impact of PBF, caution is advised to avoid adopting hasty conclusions. Above all, it is crucial to understand why and how an impact is produced or not. Our implementation fidelity study approached this inquiry by comparing, after 12 months of operation, the activities implemented against what was planned initially and will make it possible later to establish links with the policy’s impacts.

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Author/s: Oriane Bodson, Ahmed Barro, Anne-Marie Turcotte-Tremblay, Nestor Zanté, Paul-André Somé and Valéry Ridde
Publication ID: https://doi.org/10.1186/s13690-017-0250-4
Countries: Burkina Faso
Date of Publication: January 2018

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