Journal Article

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

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collection.link.125
https://openknowledge.worldbank.org/handle/10986/4401
collection.name.125
C. Journal articles published externally
dc.contributor.author
Steenland, Maria
dc.contributor.author
Robyn, Paul Jacob
dc.contributor.author
Compaore, Philippe
dc.contributor.author
Kabore, Moussa
dc.contributor.author
Tapsoba, Boukary
dc.contributor.author
Zongo, Aloys
dc.contributor.author
Haidara, Ousmane Diadie
dc.contributor.author
Fink, Gunther
dc.date.accessioned
2018-02-12T20:34:37Z
dc.date.available
2018-02-12T20:34:37Z
dc.date.issued
2017-12
dc.date.lastModified
2021-05-25T10:54:44Z
dc.description.abstract
Performance-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.citation
SSM - Population Health
dc.identifier.issn
2352-8273
dc.identifier.uri
http://hdl.handle.net/10986/29358
dc.publisher
Elsevier
dc.rights
CC BY-NC-ND 4.0
dc.rights.holder
World Bank
dc.rights.uri
http://creativecommons.org/licenses/by-nc-nd/4.0
dc.subject
PERFORMANCE INCENTIVES
dc.subject
RESULTS-BASED FINANCING
dc.subject
HEALTH SERVICES
dc.title
Performance-Based Financing to Increase Utilization of Maternal Health Services
en
dc.title.subtitle
Evidence from Burkina Faso
en
dc.type
Journal Article
en
okr.associatedcontent
https://www.sciencedirect.com/science/article/pii/S2352827317300058 Journal website (version of record)
en
okr.date.disclosure
2017-01-10
okr.doctype
Publications & Research :: Journal Article
okr.doctype
Publications & Research
okr.externalcontent
External Content
okr.googlescholar.linkpresent
yes
okr.identifier.doi
10.1016/j.ssmph.2017.01.001
okr.identifier.doi
10.1596/29358
okr.identifier.report
125337
okr.journal.nbpages
179-84
okr.language.supported
en
okr.peerreview
Academic Peer Review
okr.region.administrative
Africa
okr.region.country
Burkina Faso
okr.topic
Health, Nutrition and Population :: Early Child and Children's Health
okr.topic
Health, Nutrition and Population :: Health Project Design and Implementation
okr.topic
Health, Nutrition and Population :: Health Service Management and Delivery
okr.topic
Health, Nutrition and Population :: Reproductive Health
okr.unit
Health, Nutrition and Population Global Practice
okr.volume
3

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