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Sustainability determinants of the Burkinabe performance-based financing project

Sustainability determinants of the Burkinabe performance-based financing project A performance-based financing (PBF) pilot project was implemented in 2011 in Burkina Faso. After more than five years of implementation (data collection in 2016), the project's sustainability was not guaranteed. This study's objective is to assess this project's sustainability in 2016 by identifying the presence/absence of different determinants of sustainability according to the conceptual framework of Seppey et al. (2017).Design/methodology/approachIt uses a case study approach using in-depth interviews with various actors at the local, district/regional and national levels. Participants (n = 37) included health practitioners, management team members, implementers and senior members of health directions. A thematic analysis based on the conceptual framework was conducted, as well as an inductive analysis.FindingsResults show the project's sustainability level was weak according to an unequal presence of sustainability's determinants; some activities are being maintained but not fully routinised. Discrepancies between the project and the context's values appeared to be important barriers towards sustainability. Project's ownership by key stakeholders also seemed superficial despite the implementers' leadership towards its success. The project's objective towards greater autonomy for health centres was also directly confronting the Burkinabe's hierarchical health system.Originality/valueThis study reveals many fits and misfits between a PBF project and its context affecting its ability to sustain activities through time. It also underlines the importance of using a conceptual framework in implementing and evaluating interventions. These results could be interesting for decision-makers and implementers in further assessing PBF projects elsewhere. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Health Organisation and Management Emerald Publishing

Sustainability determinants of the Burkinabe performance-based financing project

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Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
1477-7266
DOI
10.1108/jhom-04-2020-0137
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Abstract

A performance-based financing (PBF) pilot project was implemented in 2011 in Burkina Faso. After more than five years of implementation (data collection in 2016), the project's sustainability was not guaranteed. This study's objective is to assess this project's sustainability in 2016 by identifying the presence/absence of different determinants of sustainability according to the conceptual framework of Seppey et al. (2017).Design/methodology/approachIt uses a case study approach using in-depth interviews with various actors at the local, district/regional and national levels. Participants (n = 37) included health practitioners, management team members, implementers and senior members of health directions. A thematic analysis based on the conceptual framework was conducted, as well as an inductive analysis.FindingsResults show the project's sustainability level was weak according to an unequal presence of sustainability's determinants; some activities are being maintained but not fully routinised. Discrepancies between the project and the context's values appeared to be important barriers towards sustainability. Project's ownership by key stakeholders also seemed superficial despite the implementers' leadership towards its success. The project's objective towards greater autonomy for health centres was also directly confronting the Burkinabe's hierarchical health system.Originality/valueThis study reveals many fits and misfits between a PBF project and its context affecting its ability to sustain activities through time. It also underlines the importance of using a conceptual framework in implementing and evaluating interventions. These results could be interesting for decision-makers and implementers in further assessing PBF projects elsewhere.

Journal

Journal of Health Organisation and Management – Emerald Publishing

Published: May 5, 2021

Keywords: Sustainability; Health financing; Performance-based financing; Burkina Faso; Project management; Implementation

References

  • Contracting for health and curative care use in Afghanistan between 2004 and 2005
    Arur, A.; Peters, D.; Hansen, P.; Mashkoor, M.A.; Steinhardt, L.C.; Burnham, G.
  • Locating health diplomacy through African negotiations on performance‐based funding in global health
    Barnes, A.; Brown, G.; Harman, S.
  • Effect on maternal and child health services in Rwanda of payment to primary health-care providers for performance: an impact evaluation
    Basinga, P.; Gertler, P.J.; Binagwaho, A.; Soucat, A.L.B.; Sturdy, J.; Vermeersch, C.M.J.
  • Performance-based financing in the context of the complex remuneration of health workers: findings from a mixed-method study in rural Sierra Leone
    Bertone, M.P.; Lagarde, M.; Witter, S.
  • The effects of global health initiatives on country health systems: a review of the evidence from HIV/AIDS control
    Biesma, R.G.; Brugha, R.; Harmer, A.; Walsh, A.; Spicer, N.; Walt, G.
  • Decentralization of health systems in Ghana, Zambia, Uganda and the Philippines: a comparative analysis of decision space
    Bossert, T.J.; Beauvais, J.C.
  • The dynamic sustainability framework: addressing the paradox of sustainment amid ongoing change
    Chambers, D.; Glasgow, R.; Stange, K.
  • Introducing payment for performance in the health sector of Tanzania- the policy process
    Chimhutu, V.; Tjomsland, M.; Songstad, N.G.; Mrisho, M.; Moland, K.M.
  • Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science
    Damschroder, L.J.; Aron, D.C.; Keith, R.E.; Kirsh, S.R.; Alexander, J.A.; Lowery, J.C.
  • The importance of leadership and organizational capacity in shaping health workers' motivational reactions to performance-based financing: a multiple case study in Burkina Faso
    Fillol, A.; Lohmann, J.; Turcotte-Tremblay, A.M.; Some, P.A.; Ridde, V.
  • The importance of leadership and organizational capacity in shaping health workers' motivational reactions to performance-based financing: a multiple case study in Burkina Faso
    Fillol, A.; Lohmann, J.; Turcotte-Tremblay, A.M.; Somé, P.A.; Ridde, V.
  • The sustainability of healthcare innovations: a concept analysis
    Fleiszer, A.R.; Semenic, S.E.; Ritchie, J.A.; Richer, M.C.; Denis, J.L.
  • Health financing policies in Sub-Saharan Africa: government ownership or donors' influence? A scoping review of policymaking processes
    Gautier, L.; Ridde, V.
  • How do diffusion entrepreneurs spread policies? Insights from performance-based financing in Sub-Saharan Africa
    Gautier, L.; Tosun, J.; DE Allegri, M.; Ridde, V.
  • The health impacts of globalisation: a conceptual framework
    Huynen, M.M.; Martens, P.; Hilderink, H.B.
  • Can performance-based financing be used to reform health systems in developing countries?
    Ireland, M.; Paul, E.; Dujardin, B.
  • Toward the sustainability of health interventions implemented in sub-Saharan Africa: a systematic review and conceptual framework
    Iwelunmor, J.; Blackstone, S.; Veira, D.; Nwaozuru, U.; Airhihenbuwa, C.; Munodawafa, D.; Kalipeni, E.; Jutal, A.; Shelley, D.; Ogedegbe, G.
  • Building capacity and sustainable prevention innovations: a sustainability planning model
    Johnson, K.; Hays, C.; Center, H.; Daley, C.
  • Are health workers motivated by income? Job motivation of Cambodian primary health workers implementing performance-based financing
    Khim, K.
  • Factors driving changes in the design, implementation, and scaling-up of the contracting of health services in rural Cambodia, 1997–2015
    Khim, K.; Ir, P.; Annear, P.L.
  • Implementing evidence-based interventions in health care: application of the replicating effective programs framework
    Kilbourne, A.M.; Neumann, M.S.; Pincus, H.A.; Bauer, M.S.; Stall, R.
  • Factors associated with misreporting in performance-based financing in Burkina Faso: implications for risk-based verification
    Kuunibe, N.; Lohmann, J.; Schleicher, M.; Koulidiati, J.L.; Robyn, P.J.; Zigani, Z.; Sanon, A.; De Allegri, M.
  • Integration of treatment innovation planning and implementation: strategic process models and organizational challenges
    Lehman, W.E.K.; Simpson, D.D.; Knight, D.K.; Flynn, P.M.
  • Crowding out or no crowding out? A Self-Determination Theory approach to health worker motivation in performance-based financing
    Lohmann, J.; Houlfort, N.; De Allegri, M.
  • How does performance-based financing affect health workers' intrinsic motivation? A self-determination Theory-based mixed-methods study in Malawi
    Lohmann, J.; Muula, A.S.; Houlfort, N.; De Allegri, M.
  • ‘It depends on what they experience in each health facility. Some are satisfied, others are not.’ A mixed methods exploration of health workers’ attitudes towards performance-based financing in Burkina Faso
    Lohmann, J.; Koulidiati, J.-L.; Somda, S.M.; De Allegri, M.
  • Quelle pérennité pour les interventions pilotes de gratuité des soins au Burkina Faso ?
    Mallé Samb, O.; Ridde, V.; Queuille, L.
  • Output-based payment to boost staff productivity in public health centres: contracting in Kabutare district, Rwanda
    Meessen, B.; Kashala, J.-P.I.; Musango, L.
  • From scheme to system (Part 1): notes on conceptual and methodological innovations in the multicountry research program on scaling up results-based financing in health systems
    Meessen, B.; Shroff, Z.C.; Ir, P.; Bigdeli, M.
  • Research involving health providers and managers: ethical issues faced by researchers conducting diverse health policy and systems research in Kenya
    Molyneux, S.; Tsofa, B.; Barasa, E.; Nyikuri, M.M.; Waweru, E.W.; Goodman, C.; Gilson, L.
  • Developing a comprehensive definition of sustainability
    Moore, J.E.; Mascarenhas, A.; Bain, J.; Straus, S.E.
  • Developing a comprehensive definition of sustainability
    Moore, J.E.; Mascarenhas, A.; Bain, J.; Straus, S.E.
  • A systematic review of implementation frameworks of innovations in healthcare and resulting generic implementation framework
    Moullin, J.; Sabater-Hernandez, D.; Fernandez-Llimos, F.; Benrimoj, S.
  • La routine des comportements non-observants au sein des services publics Nigériens
    Olivier De Sardan, J.P.
  • Diagnosis of a public policy: an introduction to user fee exemptions for healthcare in the Sahel
    Olivier De Sardan, J.-P.; Ridde, V.
  • Travelling models and the challenge of pragmatic contexts and practical norms: the case of maternal health
    Olivier De Sardan, J.-P.; Diarra, A.; Moha, M.
  • Marché de services relatifs à la réalisation d'une étude sur la viabilité et la pérennisation de l'approche du financement basé sur les résultats (FBR) au Bénin
    Paul, E.
  • Local stakeholders' perceptions about the introduction of performance-based financing in Benin: a case study in two health districts
    Paul, E.; Sossouhounto, N.; Eclou, D.S.
  • Performance-based financing to strengthen the health system in Benin: challenging the mainstream approach
    Paul, E.; Lamine Dramé, M.; Kashala, J.P.; Ekambi Ndema, A.; Kounnou, M.; Aïssan, J.C.; Gyselinck, K.
  • La bonne gouvernance dans la réforme du financement du système de santé au Burundi
    Peerenboom, P.B.; Basenya, O.; Bossuyt, M.; Ndayishimiye, J.; Ntakarutimana, L.; Van De Weerd, J.
  • La pérennisation organisationnelle des projets pilotes en promotion de la santé
    Pluye, P.; Potvin, L.; Denis, J.-L.
  • Making public health programs last: conceptualizing sustainability
    Pluye, P.; Potvin, L.; Denis, J.-L.
  • Program sustainability: focus on organizational routines
    Pluye, P.; Potvin, L.; Denis, J.L.; Pelletier, J.
  • Performance-based financing: the same is different
    Renmans, D.; Holvoet, N.; Criel, B.; Meessen, B.
  • Per diems undermine health interventions, systems and research in Africa: burying our heads in the sand
    Ridde, V.
  • Street-level workers' criteria for identifying indigents to be exempted from user fees in Burkina Faso
    Ridde, V.; Sombie, I.
  • How Burkina Faso used evidence in deciding to launch its policy of free healthcare for children under five and women in 2016
    Ridde, V.; Yaméogo, P.
  • Évaluer la pérennité des programmes de santé publique : un outil et son application en Haïti
    Ridde, V.; Pluye, P.; Queuille, L.
  • Protocol for the process evaluation of interventions combining performance-based financing with health equity in Burkina Faso
    Ridde, T.T.; Souares, L.; Zombré; Koulidiati, Y.; Hien, H.; Zongo, D.A.
  • Twelve months of implementation of health care performance‐based financing in Burkina Faso: a qualitative multiple case study
    Ridde, V.; Yaogo, M.; Zongo, S.; Somé, P.A.; Turcotte‐Tremblay, A.M.
  • Réformer les per diem par le dialogue
    Ridde, V.; Sambieni, N.E.; Kojoue, L.; Samb, O.M.
  • Is sustainability possible? A review and commentary on empirical studies of program sustainability
    Scheirer, M.A.
  • An agenda for research on the sustainability of public health programs
    Scheirer, M.A.; Dearing, J.W.
  • Public health program capacity for sustainability: a new framework
    Schell, S.F.; Luke, D.A.; Schooley, M.W.; Elliott, M.B.; Herbers, S.H.; Mueller, N.B.; Bunger, A.C.
  • Donor-funded project's sustainability assessment: a qualitative case study of a results-based financing pilot in Koulikoro region, Mali
    Seppey, M.; Ridde, V.; Toure, L.; Coulibaly, A.
  • From scheme to system (part 2): findings from ten countries on the policy evolution of results-based financing in health systems
    Shroff, Z.C.; Bigdeli, M.; Meessen, B.
  • Taking results-based financing from scheme to system
    Shroff, Z.C.; Tran, N.; Meessen, B.; Bigdeli, M.; Ghaffar, A.
  • Transferring the purchasing role from international to national organizations during the scale-up phase of performance-based financing in Cameroon
    Sieleunou, I.; Turcotte-Tremblay, A.M.; Yumo, H.A.; Kouokam, E.; Fotso, J.C.T.; Tamga, D.M.; Ridde, V.
  • Performance-based financing and changing the district health system: experience from Rwanda
    Soeters, R.; Habineza, C.; Peerenboom, P.B.
  • Performance-based financing experiment improved health care in the Democratic Republic of Congo
    Soeters, R.; Peerenboom, P.B.; Mushagalusa, P.; Kimanuka, C.
  • A Guide for applying a revised version of the PARIHS framework for implementation
    Stetler, C.B.; Damschroder, L.J.; Helfrich, C.D.; Hagedorn, H.J.
  • Does performance-based financing increase value for money in low-and middle-income countries? A systematic review
    Turcotte-Tremblay, A.-M.; Spagnolo, J.; DE Allegri, M.; Ridde, V.
  • The unintended consequences of community verifications for performance-based financing in Burkina Faso
    Turcotte-Tremblay, A.-M.; Gali-Gali, I.A.; De Allegri, M.; Ridde, V.
  • The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research
    Wiltsey Stirman, S.; Kimberly, J.; Cook, N.; Calloway, A.; Castro, F.; Charns, M.
  • Three approaches to case study methods in education: Yin, Merriam, and Stake
    Yazan, B.
  • Planning for the sustainability of community-based health programs: conceptual frameworks and future directions for research, practice and policy
    Shediac-Rizkallah, M.C.; Bone, L.R.