Volume 6, Issue 5, October 2020, Page: 293-298
Impact of Performance Based Financing on Health Facilities Performance in Immunization in Two Health Districts in Benin
Agonnoude Togbédji Maurice, National School of Epidemiology and Public Health (ÉNATSE), University of Parakou, Parakou, Benin
Houeto Sègbegnon David, National School of Epidemiology and Public Health (ÉNATSE), University of Parakou, Parakou, Benin
Sambieni N’koué Emmanuel, Letters, Arts and Human Sciences Faculty (FLASH), University of Parakou, Parakou, Benin
Adoukonou Tododjitché Thierry Armel, National School of Epidemiology and Public Health (ÉNATSE), University of Parakou, Parakou, Benin; Faculty of Medicine, University of Parakou, Parakou, Benin
Received: Sep. 3, 2020;       Accepted: Sep. 22, 2020;       Published: Oct. 7, 2020
DOI: 10.11648/j.cajph.20200605.18      View  96      Downloads  30
Abstract
Background: two pilot studies of RBF have been conducted in some health districts of Benin since 2012, which results have been scaled up in 2015. Then, it’s important to see whether the impacts of health care from those studies will be confirmed by HFs performance in IS. Objective: to analyze the impact of RBF on IS performance in Parakou/N’dali and Nikki/Kalalé/Pèrèrè health districts, through the quality of the structure and the process of supplying these services, and their possible association with the immunization services performance. Method: A retrospective study was conducted including all public and private functional HFs covered by the period of 14 trimesters (T1 2014 to T2 2017). The dependent variable was the performance in IS. The independent variables were the quality of the structure, the quality of the process and the environment. A linear regression model was adjusted; the significance threshold was 5%. Results: 55 HFs participated to the study; they were mostly in rural areas (76.4%) and 36.4% were at the first level of the pyramid. There was no improvement in both trained staff (p=0.67) and midwifery staff (p=0.75) and in the rest of the structure (p=0.697); however there was a significant improvement in supplying process of immunization services (p=0.001) and the performance in IS (p=0.010). In multivariate analysis, overall and in cluster by area analysis, models were not significant. Conclusion: RBF act only on the processes of supplying immunization services to improve HF performance, taking into account the environment. No explained factors were found for this performance improvement. Local dynamics in each HF should be in action which can be uncover in interactions with local actors.
Keywords
Immunization, Results Based Financing, Healthcare Quality, Structure, Process, Benin
To cite this article
Agonnoude Togbédji Maurice, Houeto Sègbegnon David, Sambieni N’koué Emmanuel, Adoukonou Tododjitché Thierry Armel, Impact of Performance Based Financing on Health Facilities Performance in Immunization in Two Health Districts in Benin, Central African Journal of Public Health. Vol. 6, No. 5, 2020, pp. 293-298. doi: 10.11648/j.cajph.20200605.18
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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