Table 2 Events linked to the creation of the unit to coordinate performance-based financing

2000

MDGs established

General Assembly on Health held

Health system reforms proposed to improve health indicators and increase the health system’s responsiveness to important health-related challenges

Healthcare services decentralised

National Health Policy drafted and implemented

2001

National Health Strategic Plan operationalised

Implementation of the Health Development Support Program

2005

Midterm evaluation of the National Health Strategic Plan

2007

Midterm evaluation of the Health Development Support Program

2009

Delegation of high-level policymakers participated in a workshop organised by the World Bank in Kigali (Rwanda) on results-based funding

Series of workshops organised and implemented to allow various health sector players to increase their knowledge of the performance-based financing policy and move towards implementing a performance-based financing system to reach Burkina Faso’s MDGs

Recommendations from the series of training workshops were made:

• Testing of the performance-based financing policy within the Health Development Support Program to see if it could be introduced without modifying public funding rules

• Establishment of a department to work full-time on introducing this policy to the health system

2010

CT-FBR established in April to:

• Help the Ministry of Health reach its goals

• Draft the basic performance-based financing strategy/documents for the Burkina Faso health system

• Start implementation of performance-based financing throughout the country, from January 1, 2011

Study trip for technical unit members to Rwanda, Bamako, Ouidah, Cameroon, Senegal, and Burundi undertaken

2011

Performance-based financing test application established in three health districts to:

• Test the capacity of the various players

• Verify the system for the quantitative and qualitative evaluation of service providers’ performance

• Highlight possible deficiencies in the implementation strategy in the strategy document and the national implementation guide

• Propose possible adjustments to the implementation strategy such as those retained in the strategy document and the national implementation guide

Actual purchasing of health interventions in three health districts (Boulsa, Léo, and Titao) began in April

2012

Test phase continued and funding sought to expand to other Ministry of Health entities

Credit agreement signed in September between the Ministry of Finance, the Ministry of Health, and the World Bank to support Burkina Faso’s implementation of a performance-based financing project in the field of reproductive health

2013

External evaluation of the performance-based financing test phase in the Boulsa, Leo, and Titao health districts. It noted:

• A strategy that produces good results should be adopted;

• There was commitment and motivation from all players involved in the process

• Ministry of Health should pursue the strategy in the three health districts and petition for its extension