Publication:
Performance-Based Financing to Increase Utilization of Maternal Health Services: Evidence from Burkina Faso

Simple item page
dc.contributor.authorSteenland, Maria
dc.contributor.authorRobyn, Paul Jacob
dc.contributor.authorCompaore, Philippe
dc.contributor.authorKabore, Moussa
dc.contributor.authorTapsoba, Boukary
dc.contributor.authorZongo, Aloys
dc.contributor.authorHaidara, Ousmane Diadie
dc.contributor.authorFink, Gunther
dc.date.accessioned2018-02-12T20:34:37Z
dc.date.available2018-02-12T20:34:37Z
dc.date.issued2017-12
dc.description.abstractPerformance-based financing (PBF) programs are increasingly implemented in low and middle-income countries to improve health service quality and utilization. In April 2011, a PBF pilot program was launched in Boulsa, Leo and Titao districts in Burkina Faso with the objective of increasing the provision and quality of maternal health services. We evaluate the impact of this program using facility-level administrative data from the national health management information system (HMIS). Primary outcomes were the number of antenatal care visits, the proportion of antenatal care visits that occurred during the first trimester of pregnancy, the number of institutional deliveries and the number of postnatal care visits. To assess program impact we use a difference-in-differences approach, comparing changes in health service provision post-introduction with changes in matched comparison areas. All models were estimated using ordinary least squares (OLS) regression models with standard errors clustered at the facility level. On average, PBF facilities had 2.3 more antenatal care visits (95% CI [0.446–4.225]), 2.1 more deliveries (95% CI [0.034–4.069]) and 9.5 more postnatal care visits (95% CI [6.099, 12.903]) each month after the introduction of PBF. Compared to the service provision levels prior to the interventions, this implies a relative increase of 27.7 percent for ANC, of 9.2 percent for deliveries, and of 118.7 percent for postnatal care. Given the positive results observed during the pre-pilot period and the limited resources available in the health sector, the PBF program in Burkina Faso may be a low-cost, high impact intervention to improve maternal and child health.en
dc.identifier.citationSSM - Population Health
dc.identifier.doi10.1596/29358
dc.identifier.issn2352-8273
dc.identifier.urihttps://hdl.handle.net/10986/29358
dc.publisherElsevier
dc.rightsCC BY-NC-ND 4.0
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0
dc.subjectPERFORMANCE INCENTIVES
dc.subjectRESULTS-BASED FINANCING
dc.subjectHEALTH SERVICES
dc.titlePerformance-Based Financing to Increase Utilization of Maternal Health Servicesen
dc.title.subtitleEvidence from Burkina Fasoen
dc.typeJournal Articleen
dc.typeArticle de journalfr
dc.typeArtículo de revistaes
dspace.entity.typePublication
okr.associatedcontenthttps://www.sciencedirect.com/science/article/pii/S2352827317300058 Journal website (version of record)en
okr.crossref.titlePerformance-Based Financing to Increase Utilization of Maternal Health Services: Evidence from Burkina Faso
okr.date.disclosure2017-01-10
okr.doctypePublications & Research::Journal Article
okr.doctypePublications & Research
okr.externalcontentExternal Content
okr.guid842431524045679199
okr.identifier.doi10.1016/j.ssmph.2017.01.001
okr.identifier.doi10.1596/29358
okr.identifier.report125337
okr.journal.nbpages179-84
okr.language.supporteden
okr.peerreviewAcademic Peer Review
okr.region.administrativeAfrica
okr.region.countryBurkina Faso
okr.topicHealth, Nutrition and Population::Early Child and Children's Health
okr.topicHealth, Nutrition and Population::Health Project Design and Implementation
okr.topicHealth, Nutrition and Population::Health Service Management and Delivery
okr.topicHealth, Nutrition and Population::Reproductive Health
okr.unitHealth, Nutrition and Population Global Practice
okr.volume3
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
j.ssmph.2017.01.001.pdf
Size:
523.41 KB
Format:
Adobe Portable Document Format
Description:
Journal Article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Journal articles published externally