@article{fdi:010074894,
  title = {{H}ow is the discourse of performance-based financing shaped at the global level ? : a poststructural analysis},
  author = {{G}autier, {L}. and {D}e {A}llegri, {M}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground{P}erformance-based financing ({PBF}) in low- and middle-income settings has diffused at an unusually rapid pace. {W}hile many studies have looked at {PBF} implementation processes and effects, there is an empirical research gap investigating the ways {PBF} has diffused. {D}iscursive processes are paramount elements of policy diffusion because they explain the origins of essential elements of the political debate on {PBF}. {U}sing {B}acchi's poststructural approach that emphasises problem representations embedded in the discourse, the present study analyses the construction of the global discourse on {PBF}.{M}ethods{A} rich corpus of qualitative data (57 in-depth interviews and 10 observation notes) was collected. {T}he transcribed material was coded using {QDAM}iner (c). {C}odes were assembled to populate analytical categories informed by the framework on diffusion entrepeneurs and {B}acchi's poststructural approach.{R}esults{O}ur results feature problem representations shaped and spread by {PBF} global diffusion entrepreneurs. {W}e explain how these representations reflected diffusion entrepreneurs' own belief systems and interests, and conflicted with those of non-diffusion entrepreneurs. {T}his research also reveals the specific strategies global diffusion entrepreneurs engaged in to effectively diffuse {PBF}, through reflecting problem representations based on the discourse on {PBF}, and inducing certain forms of policy experimentation, emulation, and learning.{C}onclusions{B}acchi's poststructural approach is useful to analyse the construction of global health problem representations and the strategies set by global diffusion entrepreneurs to spread these representations. {F}uture research is needed to investigate the belief systems, motivations, resources, and strategies of actors that shape the construction of global health discourses.},
  keywords = {{G}lobal discourse ; {P}erformance-based financing ; {D}iffusion entrepreneurs ; {P}oststructural analysis ; {AFRIQUE}},
  booktitle = {},
  journal = {{G}lobalization and {H}ealth},
  volume = {15},
  numero = {},
  pages = {art. 6 [21 ]},
  ISSN = {1744-8603},
  year = {2019},
  DOI = {10.1186/s12992-018-0443-9},
  URL = {https://www.documentation.ird.fr/hor/fdi:010074894},
}