@article{fdi:010078141,
  title = {{N}o effects of pilot performance-based intervention implementation and withdrawal on the coverage of maternal and child health services in the {K}oulikoro region, {M}ali : an interrupted time series analysis},
  author = {{Z}ombr{\'e}, {D}. and {D}e {A}llegri, {M}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{P}erformance-based financing ({PBF}) has been promoted and increasingly implemented across low- and middle-income countries to increase the utilization and quality of primary health care. {H}owever, the evidence of the impact of {PBF} is mixed and varies substantially across settings. {T}hus, further rigorous investigation is needed to be able to draw broader conclusions about the effects of this health financing reform. {W}e examined the effects of the implementation and subsequent withdrawal of the {PBF} pilot programme in the {K}oulikoro region of {M}ali on a range of relevant maternal and child health indicators targeted by the programme. {W}e relied on a control interrupted time series design to examine the trend in maternal and child health service utilization rates prior to the {PBF} intervention, during its implementation and after its withdrawal in 26 intervention health centres. {T}he results for these 26 intervention centres were compared with those for 95 control health centres, with an observation window that covered 27 quarters. {U}sing a mixed-effects negative binomial model combined with a linear spline regression model and covariates adjustment, we found that neither the introduction nor the withdrawal of the pilot {PBF} programme bore a significant impact in the trend of maternal and child health service use indicators in the {K}oulikoro region of {M}ali. {T}he absence of significant effects in the health facilities could be explained by the context, by the weaknesses in the intervention design and by the causal hypothesis and implementation. {F}urther inquiry is required in order to provide policymakers and practitioners with vital information about the lack of effects detected by our quantitative analysis.yy},
  keywords = {{P}erformance-based financing ; health services coverage ; policy ; evaluation ; interrupted time series ; {M}ali ; {MALI} ; {KOULIKORO} {REGION}},
  booktitle = {},
  journal = {{H}ealth {P}olicy and {P}lanning},
  volume = {35},
  numero = {4},
  pages = {379--387},
  ISSN = {0268-1080},
  year = {2020},
  DOI = {10.1093/heapol/czaa001},
  URL = {https://www.documentation.ird.fr/hor/fdi:010078141},
}