Measuring and understanding the effects of a performance based financing scheme applied to nutrition services in Burundi—a mixed method impact evaluation design

Table 2 Routes applying in the Intervention and Control groups at the facility level

	Intervention group	Control group
(1) Income	++	++ ^a
(2) Cash	++	++ ^a
(3) Incentive	++ on nutrition services ? on other services	~
(4) Information	++	+ ^b
(5) Supervision & enforcement	++	? ^c
(6) Culture at provider level	~ or +	~ or + ^d
(7) Health system	++	? ^e

Notes: Symbols + and ++ mean that routes apply moderately to strongly; ? means unclear, ~ means neutral ^aThe control HCs will get additional financial resources which will correspond to a weighted average of the nutrition subsidies received in the intervention group. ^bBefore the start of the intervention, all 90 HCs were provided with some information on the nutrition indicators and on their performance in nutrition services. ^cIn a district where there are control and intervention HCs, the district team supervisors may transfer good practices to both intervention and control HCs. ^dControl HCs know that there will probably be a scale up of the nutrition indicators to all HCs after the pilot; some managers may anticipate this by already reorganizing their nutrition services. ^eSome health system effects might affect control HCs (e.g. if there is a problem of availability of nutritional inputs at national level, because of the pressure by intervention HCs, the supply to control HCs may be reduced)

ISSN: 1475-9276