@article{fdi:010073642,
  title = {{P}erformance-based financing in {A}frica : time to test measures for equity},
  author = {{R}idde, {V}al{\'e}ry and {G}autier, {L}. and {T}urcotte-{T}remblay, {A}. {M}. and {S}ieleunou, {I}. and {P}aul, {E}.},
  editor = {},
  language = {{ENG}},
  abstract = {{O}ver the past 15 years, hundreds of millions of dollars have been invested in reforms founded on performance-based financing ({PBF}) in low- and middle-income countries. {W}hile evidence on its effectiveness and efficiency is still controversial, there appears to be an emerging consensus that equity has not been adequately considered. {I}n this article, we show how {PBF}-type interventions in {A}frica have not sufficiently taken into account equity of access to care for the worst-off and their financial protection. {I}n reviewing the history of health reforms in {A}frica, we show that this omission is nothing new. {W}e suggest that strategic purchasing and {PBF}-type actions would benefit from being implemented in ways that promote equity and the financial protection of populations in {A}frica. {W}ithout such a reorientation of reforms, it will be impossible to achieve universal health coverage by 2030.},
  keywords = {equity ; {A}frica ; performance-based financing ; health reforms ; strategic purchasing ; universal health coverage ; {AFRIQUE}},
  booktitle = {},
  journal = {{I}nternational {J}ournal of {H}ealth {S}ervices},
  volume = {48},
  numero = {3},
  pages = {549--561},
  ISSN = {0020-7314},
  year = {2018},
  DOI = {10.1177/0020731418779508},
  URL = {https://www.documentation.ird.fr/hor/fdi:010073642},
}