ArticleInternational journal of health policy and management2019
Stakeholder Perceptions and Context of the Implementation of Performance-Based Financing in District Hospitals in Mali.
Article in International journal of health policy and management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed.
- What affects the performance of hospital financing interventions in low and lower-middle income countries from the program design and implementation perspective? A scoping review.Health policy and planning · 2025Article
- Mixed-methods study on professionals' attitudes toward harm reduction in cannabis use and the development of a knowledge translation plan.Scientific reports · 2025Article
- Activity-based contracting for optimization of the mass distribution of insecticide-treated nets in the Democratic Republic of Congo: pilot implementation in Kwilu province.BMC public health · 2024Article
- An Analysis of the Social Impacts of a Health System Strengthening Program Based on Purchasing Health Services.Journal of epidemiology and global health · 2023Article
- Political Prioritisation for Performance-Based Financing at the County Level in Kenya: 2015 to 2018.International journal of health policy and management · 2023Article
- Effective Coverage of Emergency Obstetric and Newborn Care Services in Africa: A Scoping Review.Open access emergency medicine : OAEM · 2023Article
- Using CFIR framework for understanding barriers and facilitators to implementation of community tuberculosis program in Burkina Faso.Frontiers in health services · 2023Article
- Is Performance-Based Financing A Pathway to Strategic Purchasing in Sub-Saharan Africa? A Synthesis of the Evidence.Health systems and reform · 2022Review
- The Association Between Financial Incentives and Job Performance Among Primary Care Providers in Six Provinces of China.Risk management and healthcare policy · 2022Article
- Implementation research approaches to promoting universal health coverage in Africa: a scoping review.BMC health services research · 2021Article
- Implementing performance-based financing in peripheral health centres in Mali: what can we learn from it?Health research policy and systems · 2020Article
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4 authors.
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Abstract
backgroundTo improve the performance of the healthcare system, Mali's government implemented a pilot project of performance-based financing (PBF) in the field of reproductive health. It was established in the Koulikoro region. This research analyses the process of implementing PBF at district hospital (DH) level, something which has rarely been done in Africa.
methodsThis qualitative research is based on a multiple, explanatory, and contrasting case study with nested levels of analysis. It covered three of the 10 DHs in the Koulikoro region. We conducted 36 interviews: 12 per DH with council of circle's members (2) and health personnel (10). We also conducted 24 non-participant observation sessions, 16 informal interviews, and performed a literature review. We performed data analysis using the Consolidated Framework for Implementation Research (CFIR).
resultsStakeholders perceived the PBF pilot project as a vertical intervention from outside that focused solely on reproductive health. Local actors were not involved in the design of the PBF model. Several difficulties regarding the quality of its design and implementation were highlighted: too short duration of the intervention (8 months), choice and insufficient number of indicators according to the priority of the donors, and impossibility of making changes to the model during its implementation. All health workers adhered to the principles of PBF intervention. Except for members of the district health management team (DHMT) involved in the implementation, respondents only had partial knowledge of the PBF intervention. The implementation of PBF appeared to be easier in District 3 Hospital compared to District 1 and District 2 because it benefited from a pre-pilot project and had good leadership.
conclusionThe PBF programme offered an opportunity to improve the quality of care provided to the population through the motivation of health personnel in Mali. However, several obstacles were observed during the implementation of the PBF pilot project in DHs. When designing and implementing PBF in DHs, it is necessary to consider factors that can influence the implementation of a complex intervention.
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