@article{fdi:010081514,
  title = {{T}ransnational networks' contribution to health policy diffusion : a mixed method study of the performance-based financing community of practice in {A}frica},
  author = {{G}autier, {L}. and {D}e {A}llegri, {M}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {T}ransnational networks such as {C}ommunities of {P}ractice ({C}o{P}s) are flourishing, yet their role in diffusing health systems reforms has been seldom investigated. {O}ver the past decade, performance-based financing ({PBF}) has rapidly spread in {A}frica. {T}his study explores how, through the {PBF} {C}ommunity of {P}ractice's attributes, structure, and strategies, {PBF} diffusion was fostered in sub-{S}aharan {A}frica ({SSA}). {M}ethods: {I}nformed by the diffusion entrepreneurs'; ({DE}s) framework dimensions, we used a mixed methods convergent design to investigate how the attributes, structure, and strategies of this community fostered the diffusion of {PBF}. {T}he quantitative strand of work included firstly a semantic discourse analysis of textual data extracted from {C}o{P}'s online discussion forum (n = 1346 posts). {S}econdly, the relational data extracted from these 1346 forum posts was examined using social network analysis ({SNA}). {W}e confronted these quantitative results with a thematic analysis of qualitative interviews (n = 40) and data extracted from the {C}o{P}'s key documentation (n = 17). {R}esults: {C}o{P} members'; attributes included: representation systems anchored in clinical and economic sciences, strong expectations that the {C}o{P} would boost professional visibility and career, and significant health systems knowledge and social resources. {T}he {C}o{P}'s core group, dominated by high-income country ({HIC}) members, critically matched {PBF} principles to major health systems issues in {A}frica. {T}he broad consensus in online {PBF} thematic discussions created a strong sense of community, a breeding ground for emulation among {C}o{P} members. {T}he {C}o{P} also sought to produce and promote experiential knowledge exchanges about {PBF} amongst {A}frican practitioners. {F}indings from network analyses showed that the promoted {A}frica-driven community was led by {HIC} members, although their prominence tended to decrease with time. {C}onclusion: {T}his empirical research highlighted some of the constituting features, structure, and strategies of policy networks in influencing health policy diffusion. {D}espite good intentions to disrupt the established governance landscape, influential actors coming from {HIC}s continued to drive the framing, and shaped health systems policy experimentation, emulation, and learning in {A}frican countries. {B}eyond mere knowledge exchange platforms, {C}o{P} can act as meaningful transnational policy networks pursuing the diffusion of health systems reforms, such as {PBF}.},
  keywords = {policy pursuing systems reforms ; {T}ransnational {P}olicy {N}etworks ; {C}ommunities of {P}ractice ; {S}ocial {N}etwork {A}nalysis ; {S}emantic {A}nalysis ; {P}erformance-{B}ased {S}ub-{S}aharan {A}frica ; {AFRIQUE} {SUBSAHARIENNE}},
  booktitle = {},
  journal = {{I}nternational {J}ournal of {H}ealth {P}olicy and {M}anagement},
  volume = {10},
  numero = {6},
  pages = {310--323},
  ISSN = {2322-5939},
  year = {2021},
  DOI = {10.34172/ijhpm.2020.57},
  URL = {https://www.documentation.ird.fr/hor/fdi:010081514},
}