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Glob Health Action. 2016 Jan 5;9:29103. doi: 10.3402/gha.v9.29103. eCollection 2016.

Health worker preferences for performance-based payment schemes in a rural health district in Burkina Faso.

Author information

1
Centre de Recherche en Santé de Nouna, Nouna, Burkina Faso; yemaure@yahoo.fr.
2
Centre de Recherche en Santé de Nouna, Nouna, Burkina Faso.
3
Institute of Public Health, University of Heidelberg, Heidelberg, Germany.
4
Department of General Practice and Health Services Research, University of Heidelberg Hospital, Heidelberg, Germany.

Abstract

BACKGROUND:

One promising way to improve the motivation of healthcare providers and the quality of healthcare services is performance-based incentives (PBIs) also referred as performance-based financing. Our study aims to explore healthcare providers' preferences for an incentive scheme based on local resources, which aimed at improving the quality of maternal and child health care in the Nouna Health District.

DESIGN:

A qualitative and quantitative survey was carried out in 2010 involving 94 healthcare providers within 34 health facilities. In addition, in-depth interviews involving a total of 33 key informants were conducted at health facility levels.

RESULTS:

Overall, 85% of health workers were in favour of an incentive scheme based on the health district's own financial resources (95% CI: [71.91; 88.08]). Most health workers (95 and 96%) expressed a preference for financial incentives (95% CI: [66.64; 85.36]) and team-based incentives (95% CI: [67.78; 86.22]), respectively. The suggested performance indicators were those linked to antenatal care services, prevention of mother-to-child human immunodeficiency virus transmission, neonatal care, and immunization.

CONCLUSIONS:

The early involvement of health workers and other stakeholders in designing an incentive scheme proved to be valuable. It ensured their effective participation in the process and overall acceptance of the scheme at the end. This study is an important contribution towards the designing of effective PBI schemes.

KEYWORDS:

Burkina Faso; child health; healthcare providers; maternal health; motivation; pay for performance; performance-based financing; performance-based incentive

PMID:
26739784
PMCID:
PMC4703797
DOI:
10.3402/gha.v9.29103
[Indexed for MEDLINE]
Free PMC Article

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