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Integrating innovative health care provider payment systems into the expansion of community-based health insurance in Burkina Faso

About the Project

 
Project Name: Integrating innovative health care provider payment systems into the expansion of community-based health insurance in Burkina Faso
Type of Facility Project: Research grantee
Country of Operation: Burkina Faso
Region: Africa
Sub Topics: Premium collection, Health
 

Project Description

Read full research paper here.

The study investigates methods to integrate innovative health-care provider payment systems into the expansion of community-based health insurance (CBHI) in Burkina Faso. A CBHI in Nouna district plans to extend insurance coverage over the next two years from the 12 primary and secondary health facilities currently contracted to all 20 facilities in the district. However, previous studies in Nouna district showed that the current payment scheme is unattractive to providers. Hence, it is important to understand how to maximize health worker motivation and support through improving the current payment structure. 

An experimental design is used to examine how the relationship between insurance providers and health care facilities - and more specifically payment mechanisms for services delivered by health workers - can influence uptake and renewals. The research discovers that the way health care workers are remunerated by the risk carrier can crucially determine CBHI performance and quality of health services as payment mechanisms also influence the way healthcare is delivered. Based on the results from this experiment, a revised CBHI payment system based on health workers’ preferences was introduced in the Nouna district of Burkina Faso in January 2011.