基于绩效的融资中的反验证:来自科特迪瓦经验的关键见解
Joël Arthur Kiendrébéogo1,2,3,4, Kouadjo San Boris Bediakon5, Jean-Pierre Tsafack6
1Department of Public Health, University Joseph Ki-Zerbo, Ouagadougou, Burkina Faso.
Global health action
|December 18, 2025
概括
科特迪瓦基于绩效的融资 (PBF) 计划的反核查显示出混合的结果,某些指标的差异随着时间的推移而减少. 挑战包括不良的记录和存档,需要系统地将反验证整合到PBF设计中.
科学领域:
- 医疗卫生融资 医疗卫生融资
- 公共卫生政策 公共卫生政策
- 项目评价 项目评价
背景情况:
- 基于绩效的融资 (PBF) 是撒哈拉以南非洲的重大卫生改革.
- 验证在PBF中至关重要,但反验证仍未得到充分研究.
- 本研究调查了科特迪瓦PBF计划中的反验证.
研究的目的:
- 审查科特迪瓦PBF计划中的反核查活动.
- 为了确定实施的挑战和见解.
- 分析经验证和反验证数据之间的差异.
主要方法:
- 对14份季度反核报告 (2016年第四季度至2023年第三季度) 的内容分析.
- 通过非正式的讨论来补充.
- 利用READ方法进行系统的数据提取和分析,重点关注差异及其原因.
主要成果:
- 在比较经过验证和反验证的数据时,结果各不相同;在某些活动中,差异有所减少,但在其他活动中却持续或恶化.
- 差异的主要原因:不充分的记录保存和未能满足指标验证标准.
- 挑战包括不良的物理/电子档案和不足的合格人员;审计发现了行政/财务程序的缺陷.
结论:
- 反验证对于PBF来说至关重要,以提高信誉,纠正错误并防止不当行为.
- 将反验证系统地整合到PBF程序设计中,对于优化其影响至关重要.
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