Public Financial Management as an Enabler for Health Financing Reform: Evidence from Free Health Care Policies implemented in Burkina Faso, Burundi, and Niger Institute of Tropical Medicine
In Burkina Faso, Burundi and Niger, the policy to remove user fees for primary care was carried out through significant adjustments in public financial management (PFM). The paper analyzes the PFM adjustments by stage of the budget cycle and describes their importance for health financing. The three countries shifted from input-based to program-based allocation for primary care facility compensation, allowed service providers autonomy to access ...