The unintended consequences of combining equity measures with performance-based financing in Burkina Faso.

ABSTRACT:

Background

User fees and poor quality of care contribute to low use of healthcare services in Burkina Faso. The government implemented an innovative intervention that combines equity measures with performance-based financing (PBF). These health equity measures included a community-based selection of indigents to receive user fee exemptions and paying healthcare centres higher purchase prices for services provided to indigents. Research suggests complex interventions can trigger changes not targeted by program planners. To date, however, there is a knowledge gap regarding the unintended consequences that can emerge from combining PBF with health equity measures. Our objective is to document unintended consequences of the equity measures in this complex intervention.

Methods

W

SUBMITTER: Turcotte-Tremblay AM 

PROVIDER: S-EPMC6151907 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature