Le financement basé sur les résultats (FBR) en Afrique

Abstract

Results-based financing (RBF) in the healthcare sector is a travelling model. Despite early positive findings, evidence of its effectiveness has been scarce. In 2018, an article that was critical of RBF caused individual and collective reactions that were virulent at times. We analyze this controversy using qualitative discourse analysis. We find that neither the RBF approach nor its basis was fundamentally questioned, but only its journey was. This controversy illustrates the importance of actors and their networks in the social construction of the reputation of a travelling model. Once forged – even without proof – it is difficult to question it.

Keywords

• results-based financing
• travelling model
• community of practice
• controversy
• Africa