The use of community health workers to administer prompt treatments is gaining popularity in most sub-Saharan African countries. Their performance is a key challenge because it varies considerably, depending on the context, while being closely associated with the effectiveness of case management...

Effective mechanisms to exempt the indigent from user fees at health care facilities are rare in Africa. A State-led intervention (2004-2005) and two action research projects (2007-2010) were implemented in a health district in Burkina Faso to exempt the indigent from user fees. This article...

Purpose: A performance-based financing (PBF) pilot project was implemented in 2011 in Burkina Faso. After more than five years of implementation (data collection in 2016), the project's sustainability was not guaranteed. This study's objective is to assess this project's sustainability in 2016...

Purpose: The study aims to explore the theoretical bases justifying the use of performance-based financing (PBF) in the health sector in low- and middle-income countries (LMICs). Design/methodology/approach: The authors conducted a scoping review of the literature on PBF so as to identify the...

In humanitarian and post-conflict settings, evaluations are rarely participative due to constraints such as limited time, resources or expertise. External evaluators control most of the process while stakeholders are the most consulted but are rarely participants. Yet, we believe that not all...

While program evaluations are increasingly valued by international organizations to inform practices and public policies, actual evaluation use (EU) in such contexts is inconsistent. Moreover, empirical literature on EU in the context of humanitarian Non-Governmental Organizations (NGOs) is very...

In West Africa, the famous "implementation gap" concept applies to health policies. During the implementation of the Bamako Initiative (BI), the actors were drawn to policies solely for their orientation towards efficiency, thereby neglecting the equity aspects. This paper aims to present an...

Objective Analysis of the implementation process for a national user fees abolition policy aimed at children under age five organized in Niger since October 2006.Methods This was a study of contrasted cases. Two districts were selected, Keita and Abalak; Keita is supported by an international...

Objective To identify determinants of utilisation for antenatal care (ANC) and skilled attendance at birth after a substantial reduction in user fees.Methods The study was conducted in the Nouna Health District in north-western Burkina Faso in early 2009. Data was collected by means of a...