ArticleSSM - population health2017
Performance-based financing to increase utilization of maternal health services: Evidence from Burkina Faso.
Article in SSM - population health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 4 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- A systematic review of the effect of performance-based financing interventions on out-of-pocket expenses to improve access to, and the utilization of, maternal health services across health sectors in sub-Saharan Africa.Journal of global health · 2023Pooled it
- Paying for performance to improve the delivery of health interventions in low- and middle-income countries.The Cochrane database of systematic reviews · 2021Pooled it
- Factors That Influence Data Use to Improve Health Service Delivery in Low- and Middle-Income Countries.Global health, science and practice · 2020Pooled it
- Using routine health information data for research in low- and middle-income countries: a systematic review.BMC health services research · 2020Pooled it
- Does dosage matter? Effects of results-based financing layered on top of less comprehensive direct facility financing in Tanzania.Health policy and planning · 2026Article
- Enhancing the antenatal care quality through incentivized routine health information system in Northwestern Ethiopia: a quasi-experimental study (2020-2021).BMC public health · 2025Article
- Effectiveness of the Gratuité user fee exemption policy on utilization and outcomes of maternal, newborn and child health services in conflict-affected districts of Burkina Faso from 2013 to 2018: a pre-post analysis.Conflict and health · 2023Article
- Comparative effectiveness of financing models in development assistance for health and the role of results-based funding approaches: a scoping review.Globalization and health · 2023Article
- Article
- Discontinuation of performance-based financing in primary health care: impact on family planning and maternal and child health.International journal of health economics and management · 2023Article
- Exploring the roles of players in strategic purchasing for healthcare in Africa-a scoping review.Health policy and planning · 2023Article
- To What Extent Do Free Healthcare Policies and Performance-Based Financing Reduce Out-of-Pocket Expenditures for Outpatient services? Evidence From a Quasi-experimental Study in Burkina Faso.International journal of health policy and management · 2023Article
- Factors impacting antenatal care utilization: a systematic review of 37 fragile and conflict-affected situations.Conflict and health · 2022Review
- Scaling-Up Performance-Based Financing in Burkina Faso: From PBF to User Fees Exemption Strategic Purchasing.International journal of health policy and management · 2022Article
- An Exploration of the Unintended Consequences of Performance-Based Financing in 6 Primary Healthcare Facilities in Burkina Faso.International journal of health policy and management · 2022Article
- The impact of maternal and child health and nutrition improvement project on maternal health service utilization in Ghana: An Interrupted time series analysis.PLOS global public health · 2022Article
- Economic evaluation of a conditional cash transfer to retain women in the continuum of care during pregnancy, birth and the postnatal period in Kenya.PLOS global public health · 2022Article
- Rethinking integrated service delivery for malaria.PLOS global public health · 2022Review
- "It Depends on What They Experience in Each Health Facility. Some Are Satisfied, Others Are Not." A MixedMethods Exploration of Health Workers' Attitudes Towards Performance-Based Financing in Burkina Faso.International journal of health policy and management · 2021Article
- Implementing performance-based financing in peripheral health centres in Mali: what can we learn from it?Health research policy and systems · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
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.
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