Assessing implementation fidelity of a results-based financing intervention in Burkina Faso

Our study provides an overview of the implementation fidelity of a RBF program in Burkina Faso using the aspect of “adherence” to intervention design. We conducted a case study in three health districts and at different levels of the health system one year after the program was implemented. On the whole, the results show quite good adherence to intervention design without a significant difference between districts. However, the different levels of care demonstrated heterogeneous degrees of fidelity. Moreover, implementation fidelity varies according to the component being discussed. Overall, the implementation respected the program agenda, even if small delays are identified.