DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20212572

Transferring performance-based financing practices in Burundi health system: the role of actors’ interactions

Richard Ndayishimiye, Dominique Niyondiko

Abstract


Background: For the past twenty years, African countries have experienced a massive deployment of performance-based financing practices within health systems. These numerous transfers involved several actors of different profiles and who intervened at different levels. At a time when many actors in their diversity are playing key role in the success or failure of the transfer process, the role of actors’ interactions in the transfer process of performance-based financing practices remains however less explored in context and in depth. This paper aimed to explore the role of actors’ interactions in the deployment of this process within Burundi health system.

Methods: We conducted a case study of the transfer of performance-based financing practices within Burundi health system. 32 semi-structured interviews were carried out in addition to documentary technique and observation. In a qualitative approach, our interpretive approach followed an abductive reasoning to interpret the data collected. Conceptualization using NVivo12 software allowed to perform thematic and content analysis.

Results: We argued that the transfer setting, the organizational specifics, the nature of the transferred practices, the levels of operationalization and the actors’ perceptions are determining factors of the deployment of the transfer process of performance-based financing practices. Moreover, the actors’ interactions as well as their causes and their effects affect the deployment of the transfer process.

Conclusions: The actors’ interactions are shown to play moderating and mediating roles in the process of transferring those practices. Future research could focus on verifying and validating this role with quantitative methods.


Keywords


Transfer process, Performance-based financing practices, Actors’ interactions, Burundi health system

Full Text:

PDF

References


Turcotte-Tremblay AM, Gautier L, Bodson O, Sambieni NE, Ridde V. Le rôle des acteurs de la santé mondiale dans l’expansion du financement basé sur la performance dans les pays à faible et à moyen revenu. J Gest d’économie médicales. 2018;36(5):261.

Degenne A. Tipos de interacciones, formas de confianza y relaciones. Redes Rev Hisp para el análisis redes Soc. 2009;16(1):63.

Joyeux-Prunel B. Les transferts culturels. Hypothèses. 2003;6(1):149.

Bracke D. Vers un modèle théorique du transfert : les contraintes à respecter. Rev Sci Edu. 1998;24(2):235.

Minkman E, Buuren A, Bekkers V. Policy transfer routes: an evidence-based conceptual model to explain policy adoption. Policy Stud. 2018;39(2):222-50.

Björkman I, Lervik JE. Transferring HR practices within multinational corporations. Hum Resour Manag J. 2007;17(4):320-35.

Van Haeperen B. Que sont les principes du New Public Management devenus ? Reflets Perspect la vie économique. 2012;LI(2):83.

Gautier L, Tosun J, De Allegri M, Ridde V. How do diffusion entrepreneurs spread policies? Insights from performance-based financing in Sub-Saharan Africa. World Dev. 2018;110:160-75.

Delpeuch T. Comprendre la circulation internationale des solutions d’action publique : panorama des policy transfer studies. Crit Int. 2009;43(2):153.

Bonfrer I, Soeters R, Van de Poel E. Introduction Of Performance-Based Financing In Burundi Was Associated With Improvements In Care And Quality. Health Aff. 2014;33(12):2179-2187.

Bodson O, Barro A, Turcotte-Tremblay AM, Zanté N, Somé P-A, Ridde V. A study on the implementation fidelity of the performance-based financing policy in Burkina Faso after 12 months. Arch Public Heal. 2018;76(1):4.

Ndayishimiye R, Niyondiko D, Bigawa AB. The diffusion of managerial practices in performance perspective: a review of transfer models in health systems. Int J Community Med Public Heal. 2020;7(7):2825.

Le Breton D. Les grands axes théoriques de l’interactionnisme. In: L’interactionnisme symbolique. Quadrige. Presses Universitaires de France. 2012;45-98.

Marc E, Picard D. Interaction. In: Vocabulaire de Psychosociologie. ERES; 2016;191.

Bajoit G. Le concept de relation sociale. Nouv Perspect en Sci Soc. 2009;5(1):51-65.

Callon M. Éléments pour une sociologie de la traduction: la domestication des coquilles Saint-Jacques et des marins-pêcheurs dans la baie de Saint-Brieuc. L’Année Sociol. 1986;36:169-208.

Sieleunou I, Turcotte-Tremblay AM, Yumo H. Transferring the Purchasing Role from International to National Organizations During the Scale-Up Phase of Performance-Based Financing in Cameroon. Heal Syst Reform. 2017;3(2):91-104.

Zitti T, Gautier L, Coulibaly A, Ridde V. Stakeholder Perceptions and Context of the Implementation of Performance-Based Financing in District Hospitals in Mali. Int J Heal Policy Manag. 2019;8(10):583-92.

Gautier L, Coulibaly A, De Allegri M, Ridde V. From Amsterdam to Bamako: a qualitative case study on diffusion entrepreneurs’ contribution to performance-based financing propagation in Mali. Health Policy Plan. 2019;34(9):656-66.

Sieleunou I, Turcotte-Tremblay A-M, Fotso J-C, et al. Setting performance-based financing in the health sector agenda: a case study in Cameroon. Global Health. 2017;13(1):52.

Chimhutu V, Tjomsland M, Songstad NG, Mrisho M, Moland KM. Introducing payment for performance in the health sector of Tanzania- the policy process. Global Health. 2015;11(1):38.

Kondo KK, Damberg CL, Mendelson A. Implementation Processes and Pay for Performance in Healthcare: A Systematic Review. J Gen Intern Med. 2016;31(S1):61-9.

Ssengooba F, McPake B, Palmer N. Why performance-based contracting failed in Uganda – An “open-box” evaluation of a complex health system intervention. Soc Sci Med. 2012;75(2):377-83.

Kiendrébéogo JA, Shroff ZC, Berthé A, Yonli L, Béchir M, Meessen B. Why Performance-Based Financing in Chad Failed to Emerge on the National Policy Agenda. Heal Syst Reform. 2017;3(2):80-90.

Peerenboom P, Basenya O, Bossuyt M, Ndayishimiye J, Ntakarutimana L, van de Weerd J. La bonne gouvernance dans la réforme du financement du système de santé au Burundi. Sante Publique (Paris). 2014;26(2):229.

Pirès A. Échantillonnage et recherche qualitative: essai théorique et méthodologique. La Rech Qual Enjeux épistémologiques méthodologiques. 1997:113-69.

Logique DA. épistémologie et méthodologie en sciences de gestion. In: Conférence de l’AIMS. 1999:23.

Falisse JB. Au-delà du modèle voyageur ? Usage stratégique et hybridation du financement basé sur la performance (FBP) dans la santé au Burundi. Polit africaine. 2019;156(4):83.

Schloemer T, Schröder-Bäck P. Criteria for evaluating transferability of health interventions: a systematic review and thematic synthesis. Implement Sci. 2018;13(1):88.

Evans M, Davies J. Understanding Policy Transfer: A Multi-Level, Multi-Disciplinary Perspective. Gest y Polit Publica. 1999;77(2):361-85.