Public Financial Management as an Enabler for Health Financing Reform: Evidence from Free Health Care Policies Implemented in Burkina Faso, Burundi, and Niger
AbstractIn Burkina Faso, Burundi and Niger, the policy to remove user fees for primary care was carried out through significant adjustments in public financial management (PFM). The paper analyzes the PFM adjustments by stage of the budget cycle and describes their importance for health financing. T...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-01-01
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| Series: | Health Systems & Reform |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/23288604.2022.2064731 |
| _version_ | 1828089858420113408 |
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| author | Hélène Barroy Joseph Kutzin Seydou Coulibaly Alexis Bigeard S Pierre Yaméogo Jean-François Caremel Catherine Korachais |
| author_facet | Hélène Barroy Joseph Kutzin Seydou Coulibaly Alexis Bigeard S Pierre Yaméogo Jean-François Caremel Catherine Korachais |
| author_sort | Hélène Barroy |
| collection | DOAJ |
| description | AbstractIn Burkina Faso, Burundi and Niger, the policy to remove user fees for primary care was carried out through significant adjustments in public financial management (PFM). The paper analyzes the PFM adjustments by stage of the budget cycle and describes their importance for health financing. The three countries shifted from input-based to program-based allocation for primary care facility compensation, allowed service providers autonomy to access and manage the funds, and established budget performance monitoring frameworks related to outputs. These PFM changes, in turn, enabled key improvements in health financing, namely, more direct funding of primary care facilities from general budget revenue, and payments to those service providers based on outputs and drawn from noncontributory entitlements. The paper draws on these experiences to provide key lessons on the PFM enabling conditions needed to expand health coverage through public financing mechanisms. |
| first_indexed | 2024-04-11T05:49:17Z |
| format | Article |
| id | doaj.art-cd5e9921b49d40d3acc857b651efd644 |
| institution | Directory Open Access Journal |
| issn | 2328-8604 2328-8620 |
| language | English |
| last_indexed | 2024-04-11T05:49:17Z |
| publishDate | 2022-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Health Systems & Reform |
| spelling | doaj.art-cd5e9921b49d40d3acc857b651efd6442022-12-22T04:42:08ZengTaylor & Francis GroupHealth Systems & Reform2328-86042328-86202022-01-018110.1080/23288604.2022.2064731Public Financial Management as an Enabler for Health Financing Reform: Evidence from Free Health Care Policies Implemented in Burkina Faso, Burundi, and NigerHélène Barroy0Joseph Kutzin1Seydou Coulibaly2Alexis Bigeard3S Pierre Yaméogo4Jean-François Caremel5Catherine Korachais6Department of Health Systems Governance and Financing, World Health Organization, Geneva, SwitzerlandDepartment of Health Systems Governance and Financing, World Health Organization, Geneva, SwitzerlandCountry Support Team, West Africa, World Health OrganizationInter-State, Ouagadougou, Burkina FasoP4H network, World Health Organization, Geneva, SwitzerlandDepartment of Public Health, Ministry of Health and Public Hygiene, Technical Secretary in charge of Universal Health Coverage, Ouagadougou, Burkina FasoLaboratoire d’Etudes et de Recherche sur les Dynamiques Sociales et le Développement Local (LASDEL), Niamey, NigerInstitute of Tropical Medicine, Antwerp, BelgiumAbstractIn Burkina Faso, Burundi and Niger, the policy to remove user fees for primary care was carried out through significant adjustments in public financial management (PFM). The paper analyzes the PFM adjustments by stage of the budget cycle and describes their importance for health financing. The three countries shifted from input-based to program-based allocation for primary care facility compensation, allowed service providers autonomy to access and manage the funds, and established budget performance monitoring frameworks related to outputs. These PFM changes, in turn, enabled key improvements in health financing, namely, more direct funding of primary care facilities from general budget revenue, and payments to those service providers based on outputs and drawn from noncontributory entitlements. The paper draws on these experiences to provide key lessons on the PFM enabling conditions needed to expand health coverage through public financing mechanisms.https://www.tandfonline.com/doi/10.1080/23288604.2022.2064731Health financingprimary health caresub-Saharan Africauniversal health coverage |
| spellingShingle | Hélène Barroy Joseph Kutzin Seydou Coulibaly Alexis Bigeard S Pierre Yaméogo Jean-François Caremel Catherine Korachais Public Financial Management as an Enabler for Health Financing Reform: Evidence from Free Health Care Policies Implemented in Burkina Faso, Burundi, and Niger Health Systems & Reform Health financing primary health care sub-Saharan Africa universal health coverage |
| title | Public Financial Management as an Enabler for Health Financing Reform: Evidence from Free Health Care Policies Implemented in Burkina Faso, Burundi, and Niger |
| title_full | Public Financial Management as an Enabler for Health Financing Reform: Evidence from Free Health Care Policies Implemented in Burkina Faso, Burundi, and Niger |
| title_fullStr | Public Financial Management as an Enabler for Health Financing Reform: Evidence from Free Health Care Policies Implemented in Burkina Faso, Burundi, and Niger |
| title_full_unstemmed | Public Financial Management as an Enabler for Health Financing Reform: Evidence from Free Health Care Policies Implemented in Burkina Faso, Burundi, and Niger |
| title_short | Public Financial Management as an Enabler for Health Financing Reform: Evidence from Free Health Care Policies Implemented in Burkina Faso, Burundi, and Niger |
| title_sort | public financial management as an enabler for health financing reform evidence from free health care policies implemented in burkina faso burundi and niger |
| topic | Health financing primary health care sub-Saharan Africa universal health coverage |
| url | https://www.tandfonline.com/doi/10.1080/23288604.2022.2064731 |
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