The Mediation Variables Approach to Identify the Effect of Performance-Based Funding in Heath System when there is No Control Group: Evidence from the Health Care Facilities in North Benin
- 8 April 2021
- preprint
- Published by Elsevier BV in SSRN Electronic Journal
Abstract
The paper examines the effect of the Performance-Based Funding (PBF) on the performance of health facilities in North Benin, within the context of lack of control group. To account for the lack of control group, we base on the well accepted theory arguing that the PBF affects performance through the process and the structure settled in the health facility to develop a strategy to access the effect of PBF: mediation variables approach. We consider three performance variables (less than 5 years old children completely vaccinated, family planning and delivery) measured in four different ways. Using data from a survey on 55 health facilities observed over 14 trimesters, we find that the PBF has no effect on performance variables regardless of how they are measured. However, the program has some partial mediation effects that sometimes cancel each other out. We also find that a process that is designed for a given performance variable rather affects another performance variable.This publication has 43 references indexed in Scilit:
- Performance-based financing with GAVI health system strengthening funding in rural Cambodia: a brief assessment of the impactHealth Policy and Planning, 2013
- IMPLEMENTING PERFORMANCE‐BASED FUNDING FOR HEALTH RESEARCH: WHEN GOVERNANCE AND PROCEDURAL FAIRNESS MATTERPublic Administration, 2011
- MULTI‐LAYERED ACCOUNTABILITY. PERFORMANCE‐BASED FUNDING OF UNIVERSITIESPublic Administration, 2010
- Testing Mediation in Nursing ResearchNursing Research, 2010
- Funding Diversity: Performance-based Funding Regimes as Drivers of Differentiation in Higher Education SystemsHigher Education Policy, 2007
- Making Performance-Based Funding Work for HealthPLoS Medicine, 2007
- Performance‐based funding as an instrument of competition in German higher educationJournal of Higher Education Policy and Management, 2007
- Required Sample Size to Detect the Mediated EffectPsychological Science, 2007
- A comparison of methods to test mediation and other intervening variable effects.Psychological Methods, 2002
- Process AnalysisEvaluation Review, 1981