@article{fdi:010078200,
  title = {{I}mplementing performance-based financing in peripheral health centres in {M}ali : what can we learn from it ?},
  author = {{C}oulibaly, {A}. and {G}autier, {L}. and {Z}itti, {T}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{I}ntroduction{N}umerous sub-{S}aharan {A}frican countries have experimented with performance-based financing ({PBF}) with the goal of improving health system performance. {T}o date, few articles have examined the implementation of this type of complex intervention in {F}rancophone {W}est {A}frica. {T}his qualitative research aims to understand the process of implementing a {PBF} pilot project in {M}ali's {K}oulikoro region.{M}ethod{W}e conducted a contrasted multiple case study of performance in 12 community health centres in three districts. {W}e collected 161 semi-structured interviews, 69 informal interviews and 96 non-participant observation sessions. {D}ata collection and analysis were guided by the {C}onsolidated {F}ramework for {I}mplementation {R}esearch adapted to the research topic and local context.{R}esults{O}ur analysis revealed that the internal context of the {PBF} implementation played a key role in the process. {H}igh-performing centres exercised leadership and commitment more strongly than low-performing ones. {T}hese two characteristics were associated with taking initiatives to promote {PBF} implementation and strengthening team spirit. {I}nformation regarding the intervention was best appropriated by qualified health professionals. {H}owever, the limited duration of the implementation did not allow for the emergence of networks or champions. {T}he enthusiasm initially generated by {PBF} quickly dissipated, mainly due to delays in the implementation schedule and the payment modalities.{C}onclusion{PBF} is a complex intervention in which many actors intervene in diverse contexts. {T}he initial level of performance and the internal and external contexts of primary healthcare facilities influence the implementation of {PBF}. {F}uture work in this area would benefit from an interdisciplinary approach combining public health and anthropology to better understand such an intervention. {T}he deductive-inductive approach must be the stepping-stone of such a methodological approach.},
  keywords = {{I}mplementation ; {PBF} ; {M}ali ; {CFIR} ; complex intervention ; {MALI}},
  booktitle = {},
  journal = {{H}ealth {R}esearch {P}olicy and {S}ystems},
  volume = {18},
  numero = {1},
  pages = {art. 54 [17 ]},
  ISSN = {1478-4505},
  year = {2020},
  DOI = {10.1186/s12961-020-00566-0},
  URL = {https://www.documentation.ird.fr/hor/fdi:010078200},
}