Performance-Based Financing to Increase Utilization of Maternal Health Services : Evidence from Burkina Faso

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 provis...

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Main Authors:	Steenland, Maria, Robyn, Paul Jacob, Compaore, Philippe, Kabore, Moussa, Tapsoba, Boukary, Zongo, Aloys, Haidara, Ousmane Diadie, Fink, Gunther
Format:	Journal Article
Published:	Elsevier 2018
Subjects:	PERFORMANCE INCENTIVES RESULTS-BASED FINANCING HEALTH SERVICES
Online Access:	http://hdl.handle.net/10986/29358

id	okr-10986-29358
recordtype	oai_dc
spelling	okr-10986-293582021-05-25T10:54:44Z Performance-Based Financing to Increase Utilization of Maternal Health Services : Evidence from Burkina Faso Steenland, Maria Robyn, Paul Jacob Compaore, Philippe Kabore, Moussa Tapsoba, Boukary Zongo, Aloys Haidara, Ousmane Diadie Fink, Gunther PERFORMANCE INCENTIVES RESULTS-BASED FINANCING HEALTH SERVICES 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. 2018-02-12T20:34:37Z 2018-02-12T20:34:37Z 2017-12 Journal Article SSM - Population Health 2352-8273 http://hdl.handle.net/10986/29358 CC BY-NC-ND 4.0 http://creativecommons.org/licenses/by-nc-nd/4.0 World Bank Elsevier Publications & Research :: Journal Article Publications & Research Africa Burkina Faso
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
topic	PERFORMANCE INCENTIVES RESULTS-BASED FINANCING HEALTH SERVICES
spellingShingle	PERFORMANCE INCENTIVES RESULTS-BASED FINANCING HEALTH SERVICES Steenland, Maria Robyn, Paul Jacob Compaore, Philippe Kabore, Moussa Tapsoba, Boukary Zongo, Aloys Haidara, Ousmane Diadie Fink, Gunther Performance-Based Financing to Increase Utilization of Maternal Health Services : Evidence from Burkina Faso
geographic_facet	Africa Burkina Faso
description	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.
format	Journal Article
author	Steenland, Maria Robyn, Paul Jacob Compaore, Philippe Kabore, Moussa Tapsoba, Boukary Zongo, Aloys Haidara, Ousmane Diadie Fink, Gunther
author_facet	Steenland, Maria Robyn, Paul Jacob Compaore, Philippe Kabore, Moussa Tapsoba, Boukary Zongo, Aloys Haidara, Ousmane Diadie Fink, Gunther
author_sort	Steenland, Maria
title	Performance-Based Financing to Increase Utilization of Maternal Health Services : Evidence from Burkina Faso
title_short	Performance-Based Financing to Increase Utilization of Maternal Health Services : Evidence from Burkina Faso
title_full	Performance-Based Financing to Increase Utilization of Maternal Health Services : Evidence from Burkina Faso
title_fullStr	Performance-Based Financing to Increase Utilization of Maternal Health Services : Evidence from Burkina Faso
title_full_unstemmed	Performance-Based Financing to Increase Utilization of Maternal Health Services : Evidence from Burkina Faso
title_sort	performance-based financing to increase utilization of maternal health services : evidence from burkina faso
publisher	Elsevier
publishDate	2018
url	http://hdl.handle.net/10986/29358
_version_	1764469151477268480

Performance-Based Financing to Increase Utilization of Maternal Health Services : Evidence from Burkina Faso

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