Why Performance-Based Financing in Chad Failed to Emerge on the National Policy Agenda

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2017-02-08 DOI:10.1080/23288604.2017.1280115

J. Kiendrébéogo, Z. Shroff, A. Berthé, Lamoudi Yonli, M. Béchir, B. Meessen

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引用次数: 25

Abstract

Abstract—Supported by the World Bank (WB), Chad implemented a performance-based financing (PBF) scheme as a pilot, from October 2011 to May 2013. However, despite promising results and the government's stated commitment to ensure its continuation after the World Bank's departure, PBF failed to come onto the national policy agenda. This article aims to explain why this was the case, an especially interesting question given that several factors were favorable for project continuation. Data for this case study were collected through literature review and key informant interviews. We applied Kingdon's agenda setting theory to explain this failure. We found that though the potential of PBF to address challenges facing the Chadian health system was confirmed by internal and external evaluations of the pilot, it failed to move from the governmental agenda to the decision agenda. The main reason was a lack of dedicated policy entrepreneurs, resulting in a weak actual ownership of the policy by national authorities and key stakeholders. We tried to understand why such policy entrepreneurs failed to emerge.

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为什么乍得的绩效融资未能出现在国家政策议程上

摘要:在世界银行(WB)的支持下，乍得于2011年10月至2013年5月实施了基于绩效的融资(PBF)试点计划。然而，尽管取得了可喜的成果，政府也承诺在世界银行退出后继续实施PBF，但PBF未能列入国家政策议程。本文旨在解释为什么会出现这种情况，这是一个特别有趣的问题，因为有几个因素有利于项目的延续。本案例研究的资料是通过文献综述和关键信息提供者访谈来收集的。我们运用金登的议程设置理论来解释这一失败。我们发现，尽管对试点的内部和外部评估证实了PBF解决乍得卫生系统面临的挑战的潜力，但它未能从政府议程转移到决策议程。主要原因是缺乏专门的政策企业家，导致国家当局和主要利益攸关方对政策的实际所有权薄弱。我们试图理解为什么这样的政策企业家未能出现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.