The unintended consequences of community verifications for performance-based financing in Burkina Faso
Bibliographic Data
| ID | 4595342 |
|---|---|
| Authors | Anne-Marie Turcotte-Tremblay (0000-0002-6138-9908, Université de Montréal, corresponding author), Idriss Ali Gali-Gali (FrIcSaNté), Manuela De Allegri (0000-0002-8677-1337, Heidelberg University), Valery Ridde (0000-0001-9299-8266, Université de Montréal) |
| Year | 2017 |
| Volume | 191 |
| Pages | 226-236 |
| Publication date | 2017-10-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2017.09.007 |
| PMID | 28942205 |
| OpenAlex | W2751639243 |
| Language | EN |
| Citations received | 23 |
| References cited | 19 |
Performance-based financing (PBF) is being widely implemented to improve healthcare services in Africa. An essential component of PBF involves conducting community verifications, wherein investigators from local associations attempt to trace samples of patients. Community surveys are administered to patients to verify whether healthcare workers reported fictitious services to increase their revenue. At the same time, client satisfaction surveys are administered to assess whether patients are satisfied with the services received. Although some global health actors are concerned that PBF can trigger unintended consequences, this topic remains neglected. The objective of this study was to document the unintended consequences of community verification. Guided by the diffusion of innovations theory, we conducted a multiple case study. The cases were the catchment areas of seven healthcare facilities in Burkina Faso. Data were collected between January 2016 and May 2016 using non-participant observation, 92 semi-structured interviews, and informal discussions. Participants included a wide range of stakeholders, such as community verifiers, investigators, patients, and healthcare providers. Data were coded using QDA Miner, and thematic analysis was conducted. Healthcare workers did not significantly disturb or try to influence community verifiers during patient selection for community verifications. Unintended consequences included stakeholders' dissatisfaction regarding compensation modalities, work overload for community verifiers, and falsification of verification data by investigators. Community verifications led to loss of patient confidentiality as well as fears and apprehensions, although some patients were pleased to share their views regarding healthcare services. Community verifications also triggered marital issues, resulting in conflicts with, or interference from, husbands. The numerous challenges associated with locating patients in their communities led stakeholders to question the validity and utility of the results. These unintended consequences could jeopardize the overall effectiveness of community verifications. Attention should be paid to these unintended consequences to inform effective implementation and refine future interventions
Business · Consistency (knowledge bases · Family medicine · Health care · Patient satisfaction · Political science · Public relations · Qualitative research · Revenue · Sociology · Thematic analysis · Unintended consequences · Computer Science · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine · Nursing · Primary Care and Health Outcomes · Psychology · Finance
Le financement basé sur les résultats (FBR) en Afrique
Intended and unintended effects
How medical dominance and interprofessional conflicts undermine patient-centred care in hospitals
Using implementation science theories and frameworks in global health
Effects of a free health insurance programme for the poor on health service utilisation and financial protection in Senegal
Consequences of school closures due to Covid-19 in DRC, Nigeria, Senegal, and Uganda
Acceptability of government measures against Covid-19 pandemic in Senegal
How is the discourse of performance-based financing shaped at the global level? A poststructural analysis
Counter-verification in performance-based financing
Unintended uses, meanings, and consequences
“I wanted a skeleton … they brought a prince”
“The targets…are driving the agenda and that probably needs to change”
To the bone
Do Targeted User Fee Exemptions Reach the Ultra-Poor and Increase their Healthcare Utilisation? A Panel Study from Burkina Faso
Inequities and their determinants in coverage of maternal health services in Burkina Faso
The unintended consequences of combining equity measures with performance-based financing in Burkina Faso
We shouldn’t count chickens before they hatch
A realist review to assess for whom, under what conditions and how pay for performance programmes work in low- and middle-income countries
How does performance-based financing affect the availability of essential medicines in Cameroon? A qualitative study
Resources or race? Explaining (un)equality in international development partnerships
Policy, paperwork and 'postographs
The diffusion of pay for performance in health system reforms in sub-Saharan Africa and the depoliticization of health intervention
Did the learning agenda of the world bank-administrated health results innovation trust fund shape politicised evidence on performance-based financing? A documentary analysis
Implementation, context and complexity
Combining the Power of Stories and the Power of Numbers
Case Study Research
A critical examination of representations of context within research on population health interventions
Opening the ‘black box’ of performance-based financing in low- and lower middle-income countries
Contextual factors as a key to understanding the heterogeneity of effects of a maternal health policy in Burkina Faso
Studying the link between institutions and health system performance
Performance-based financing
Epistemology, Fieldwork, and Anthropology
The Unanticipated Consequences of Purposive Social Action
| Unique citing works | 23 |
|---|---|
| Citations per year | 2,88 |
| Citation span | 2018 - 2025 (8) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 23 |