Blog » Strong political decision-making is necessary for an effective and sustainable Results-Based Financing in Burkina Faso
Results-based Financing RBF is an innovative health financing strategy. In fact, unlike traditional inputbased financing, RBF finances production of outputs.
RBF has been implemented in Burkina Faso since 2011. Initially under pre-pilot form in 3 health districts, it is currently being implemented in pilot form since December 2013 in 19 health districts (out of 70 that comprise the whole country) in 6 health regions out of 13. RBF has contributed to improving the quantity and quality of care and services. According to data from the Burkina Faso RBF portal; from the first quarter of 2014 to the fourth quarter of 2015, the average quality score increased from 43 percent to 77 percent in health districts, from 41 percent to 74 percent in medical centers with surgical services (MCSS) and 34 percent to 63 percent in Regional Hospital Centers (RHC). Concerning the quantity indicators for the same period, the rate passed from 14.91 percent to 83.68 percent and 82.65 percent to 96.35 percent respectively for children aged 0 to 5 months according to IMCI and for deliveries with partographs. Also, RBF has helped to strengthen the culture of performance and outcomes in health structures and the development of partnerships with the private sector and local stakeholders to promote health demand.
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It is good to see these results and the interest in scaling-up the RBF approach. Would be good to have some more details on the financing structure of this RBF including on how risk has been transferred to the health care providers and the incentives that have resulted in the performance improvement. Quality indicators and methods for verifying the improvements would also be good to give a deeper perspective on this successful project.