ArticleBMJ global health2018
Unraveling PBF effects beyond impact evaluation: results from a qualitative study in Cameroon.
Article in BMJ global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Financial autonomy of facilities providing primary care services in low- and middle-income countries: assessing the evidence to inform the development of a typology and conceptual framework.BMC health services research · 2025Article
- Integrating political prioritisation into national surgical planning: a scoping review of surgical, obstetric and anaesthesia care in Cameroon.BMJ global health · 2024Article
- Developing a responsive model to societal needs in medical education.BMC medical education · 2024Review
- The impact of performance-based financing within local health systems: Evidence from Mozambique.Health economics · 2023Article
- Factors Affecting the Successful Implementation of a Digital Intervention for Health Financing in a Low-Resource Setting at Scale: Semistructured Interview Study With Health Care Workers and Management Staff.Journal of medical Internet research · 2023Article
- Political Prioritisation for Performance-Based Financing at the County Level in Kenya: 2015 to 2018.International journal of health policy and management · 2023Article
- Examining the Implementation of the Performance-Based Financing Equity Strategy in Improving Access and Utilization of Maternal Health Services in Cameroon: A Qualitative Study.International journal of environmental research and public health · 2022Article
- Is Performance-Based Financing A Pathway to Strategic Purchasing in Sub-Saharan Africa? A Synthesis of the Evidence.Health systems and reform · 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
- Performance-Based Financing, Basic Packages of Health Services and User-Fee Exemption Mechanisms: An Analysis of Health-Financing Policy Integration in Three Fragile and Conflict-Affected Settings.Applied health economics and health policy · 2020Article
- Do Targeted User Fee Exemptions Reach the Ultra-Poor and Increase their Healthcare Utilisation? A Panel Study from Burkina Faso.International journal of environmental research and public health · 2020Article
- Pay for Performance: A Reflection on How a Global Perspective Could Enhance Policy and Research.International journal of health policy and management · 2020Article
- Evaluating performance-based financing in low-income and middle-income countries: the need to look beyond average effect.BMJ global health · 2020Article
- Policy learning and Universal Health Coverage in low- and middle-income countries.Health research policy and systems · 2020Article
- Reproductive, maternal, newborn and child health service delivery during conflict in Yemen: a case study.Conflict and health · 2020Article
- Intended and unintended effects: community perspectives on a performance-based financing programme in Malawi.BMJ global health · 2020Article
- Article
- How does performance-based financing affect the availability of essential medicines in Cameroon? A qualitative study.Health policy and planning · 2019Article
- Stakeholder Perceptions and Context of the Implementation of Performance-Based Financing in District Hospitals in Mali.International journal of health policy and management · 2019Article
- The Importance of Leadership and Organizational Capacity in Shaping Health Workers' Motivational Reactions to Performance-Based Financing: A Multiple Case Study in Burkina Faso.International journal of health policy and management · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPerformance-based financing (PBF) has acquired increased prominence as a means of reforming health system purchasing structures in low-income and middle-income countries. A number of impact evaluations have noted that PBF often produces mixed and heterogeneous effects. Still, little systematic effort has been channelled towards understanding what causes such heterogeneity, including looking more closely at implementation processes.
methodsOur qualitative study aimed at closing this gap in knowledge by attempting to unpack the mixed and heterogeneous effects detected by the PBF impact evaluation in Cameroon to inform further implementation as the country scales up the PBF approach. We collected data at all levels of the health system (national, district, facility) and at the community level, using a mixture of in-depth interviews and focus group discussions. We combined deductive and inductive analytical techniques and applied analyst triangulation.
resultsOur findings indicate that heterogeneity in effects across facilities could be explained by pre-existing infrastructural weaknesses coupled with rigid administrative processes and implementation challenges, while heterogeneity across indicators could be explained by providers' practices, privileging services where demand-side barriers were less substantive.
conclusionIn light of the country's commitment to scaling up PBF, it follows that substantial efforts (particularly entrusting facilities with more financial autonomy) should be made to overcome infrastructural and demand-side barriers and to smooth implementation processes, thus, enabling healthcare providers to use PBF resources and management models to a fuller potential.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.