Unintended consequences of community verifications for performance-based financing in Burkina Faso

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IDL_56760.pdf (567.34 KB)

Date

2017-09

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Elsevier

Abstract

To address the shortcomings of Performance-Based Financing (PBF) verifications within facilities, two types of verifications are conducted at the community level. These community verifications couple a community survey with a client satisfaction survey to determine whether the patients reported in the medical registers exist, and if so, whether they received the services declared and are satisfied with services provided. Unintended consequences arose as the study intervention unfolded over time: worker overload; fear of retaliation from healthcare workers; loss of patient confidentiality; marital issues; falsification of records. Results highlight the need to be skeptical of high performance scores for community verifications.

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Keywords

BURKINA FASO, VERIFICATION, IMPLEMENTATION, UNINTENDED CONSEQUENCES, CASE STUDIES, PERFORMANCE BASED FINANCING, SOUTH OF SAHARA, HEALTH FACILITIES, HEALTH FINANCING, DELIVERY OF HEALTH CARE, RESEARCH EVALUATION, PROGRAMME EVALUATION

Citation

Turcotte-Tremblay, A. M., Gali-Gali, I. A., De Allegri, M., & Ridde, V. (2017). The unintended consequences of community verifications for performance-based financing in Burkina Faso. Social Science & Medicine, 191, 226-236. http://dx.doi.org/10.1016/j.socscimed.2017.09.007

URI

http://hdl.handle.net/10625/56760

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IDRC Research Results / Résultats de recherches du CRDI
2010-2019 / Années 2010-2019
All Research Results (IDRC Corporate Awards) / Résultats de recherche (Bourses du CRDI)
Journal Articles / Articles de revue