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Document de Programmation Pluriannuelle des Dépenses 2022-2024. Cotonou: Ministry of Health; 2021. https://budgetbenin.bj/wp-content/uploads/2021/10/DPPD-2022-2024-PLF-MS_002.pdf", "country_ids": [ "BEN" ], "coverage_domains": [ "decision_rights", "governance", "government_responsibilities", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Proportion de crédits transférés aux communes", "institution": "Ministry of Health, Republic of Benin", "locator": { "locator_type": "pdf_page_set_anchor", "section": "Performance indicators", "source_word_anchor": "Proportion de crédits transférés aux communes", "source_word_count": 6 }, "material_id": "material:ae5a80b60b23ae947a9b98e2", "notes": [ "The programme indicator is a planned or monitored budget measure, not evidence of a completed municipal transfer or facility discretion." ], "origin": "country-evidence-improvement-sources", "period": "Budget-programming period 2022-2024", "publication_date": null, "publication_year": 2021, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "8f6fd9e0745bdb35316c543b3ef35ade432d25f47d0f91360b588586564d7532", "response_sha256": "8f6fd9e0745bdb35316c543b3ef35ade432d25f47d0f91360b588586564d7532" }, "statement": "The ministry programme includes an indicator for the share of Ministry of Health credits transferred to communes, documenting a budget-programming measure but not proving communes' effective health-service authority or actual execution.", "tags": [], "territory": "national ministry expenditure programme, including transfers to communes", "title": "Document de Programmation Pluriannuelle des Dépenses 2022-2024: Ministère de la Santé", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://budgetbenin.bj/wp-content/uploads/2021/10/DPPD-2022-2024-PLF-MS_002.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Republic of Benin, Secrétariat général du Gouvernement. Décret n° 2019-432 du 02 octobre 2019 portant approbation des statuts de l’Agence nationale des soins de santé primaires. 2019. https://sgg.gouv.bj/doc/decret-2019-432/download", "country_ids": [ "BEN" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "government_responsibilities", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "dotée de la personnalité juridique et de l’autonomie financière", "institution": "Secrétariat général du Gouvernement, Republic of Benin", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "dotée de la personnalité juridique et de l’autonomie financière", "source_word_count": 9 }, "material_id": "material:3ef8e18eb25e1238df78fe08", "notes": [ "Use for the agency's statutory status and remit only; do not infer exercised powers or facility autonomy." ], "origin": "country-evidence-improvement-sources", "period": "Decree dated 2019-10-02; the decree establishes status, not implementation outcomes", "publication_date": null, "publication_year": 2019, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "904038a51ef7dac44f9cc256ed1d1f39f9b298129e1e54442234ad197c85b013", "page_count": 11, "response_sha256": "904038a51ef7dac44f9cc256ed1d1f39f9b298129e1e54442234ad197c85b013" }, "statement": "The decree approves the National Agency for Primary Health Care statutes, gives it legal personality and financial autonomy, places it under the health ministry, and assigns primary-health-policy implementation; it does not establish facility-level discretion or observed practice.", "tags": [], "territory": "national; statutory framework for the National Agency for Primary Health Care", "title": "Décret n° 2019-432 du 02 octobre 2019 portant approbation des statuts de l’Agence nationale des soins de santé primaires", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://sgg.gouv.bj/doc/decret-2019-432/download" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Antony M, Bertone MP, Barthes O. Exploring implementation practices in results-based financing: the case of the verification in Benin. BMC Health Services Research. 2017;17:204. doi:10.1186/s12913-017-2148-9. https://pmc.ncbi.nlm.nih.gov/articles/PMC5348780/", "country_ids": [ "BEN" ], "coverage_domains": [ "autonomy", "decision_rights", "facility_data", "governance", "primary_care", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "verification processes are complex, costly and time-consuming", "institution": "BMC Health Services Research", "locator": { "locator_type": "xml_text_anchor", "source_word_anchor": "verification processes are complex, costly and time-consuming", "source_word_count": 7 }, "material_id": "material:6154bfcd0abcb2ad35276a6b", "notes": [ "Keep the eight-district pilot scope and distinguish observed implementation from formal purchasing rules or national effects." ], "origin": "country-evidence-improvement-sources", "period": "Pilot began March 2012; study describes implementation through 2015; article published 2017", "publication_date": null, "publication_year": 2017, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "05641dbd1f2da3eb2b1a0819520a6a7eaca25743c0bdaa7b81b3b7c69d89641c" }, "statement": "This action-research study of the eight-district pilot observed that verification practices differed from design and were complex, costly and time-consuming; it does not establish the performance of a national purchasing system or causal service effects.", "tags": [], "territory": "eight initial results-based-financing pilot health districts; not national", "title": "Exploring Implementation Practices in Results-Based Financing: The Case of the Verification in Benin", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5348780/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. Final Fiduciary Systems Assessment: Benin Health System Enhancement Program (P172940). Washington, DC: World Bank; 2022. https://documents.worldbank.org/curated/en/099245004062211280/pdf/P17294004555940108fe905e1b7c8b8893.pdf", "country_ids": [ "BEN" ], "coverage_domains": [ "authoritative_review", "autonomy", "decision_rights", "governance", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "decentralization of commitment authority to line ministries", "institution": "World Bank", "locator": { "locator_type": "pdf_page_anchor", "physical_pdf_page": 2, "section": "Public financial management", "source_word_anchor": "decentralization of commitment authority to line ministries", "source_word_count": 7 }, "material_id": "material:d0214a5f69ea476b6aeca195", "notes": [ "Keep ministry commitment authority distinct from provider-level budget, procurement or staffing authority." ], "origin": "country-evidence-improvement-sources", "period": "Assessment published 2022", "publication_date": null, "publication_year": 2022, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "87a1c01f077ca2587fc9921255507ecc91da7bdc8e2a4e7cc144fe884da7025f", "page_count": 5, "response_sha256": "87a1c01f077ca2587fc9921255507ecc91da7bdc8e2a4e7cc144fe884da7025f" }, "statement": "The fiduciary assessment reported a public-financial-management reform that decentralized commitment authority to line ministries; it does not establish that individual health facilities hold spending autonomy.", "tags": [], "territory": "national public-financial-management framework relevant to line ministries", "title": "Final Fiduciary Systems Assessment: Benin Health System Enhancement Program", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/099245004062211280/pdf/P17294004555940108fe905e1b7c8b8893.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Carpio C. Final Technical Assessment: Benin Health System Enhancement Program (P172940). Washington, DC: World Bank; 2022. https://documents.worldbank.org/curated/en/099245104062226768/pdf/P172940009bb680a0ba6208559d8677668.pdf", "country_ids": [ "BEN" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "legal personality and financial autonomy under the aegis", "institution": "World Bank", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "legal personality and financial autonomy under the aegis", "source_word_count": 8 }, "material_id": "material:ff81435d500c01c3ac5682c8", "notes": [ "Treat the assessment's institutional description as reported evidence; verify the underlying decree before asserting present legal powers." ], "origin": "country-evidence-improvement-sources", "period": "Assessment dated 2022-04-05; institutional statements are not a consolidated legal determination", "publication_date": null, "publication_year": 2022, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "c55cfa94e9d463b4c68ecf5c8fdc84c8ed42814b2a7d4fd28fdbca093fe58e91", "page_count": 31, "response_sha256": "c55cfa94e9d463b4c68ecf5c8fdc84c8ed42814b2a7d4fd28fdbca093fe58e91" }, "statement": "The assessment described a three-level health pyramid, Ministry responsibilities, and the National Agency for Primary Health Care as a Ministry-supervised agency with legal personality and financial autonomy; it also reported that several reforms remained in early implementation.", "tags": [], "territory": "national health-system programme assessment, with central, regional and health-district arrangements", "title": "Final Technical Assessment: Benin Health System Enhancement Program", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/099245104062226768/pdf/P172940009bb680a0ba6208559d8677668.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Paul E, Albert L, Bisala BN, et al. Performance-Based Financing to Strengthen the Health System in Benin: Challenging the Mainstream Approach. International Journal of Health Policy and Management. 2018;7(1):34-47. doi:10.15171/ijhpm.2017.42. https://pmc.ncbi.nlm.nih.gov/articles/PMC5745866/", "country_ids": [ "BEN" ], "coverage_domains": [ "actors", "decision_rights", "facility_data", "governance", "hospital_organization", "networks", "primary_care", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "counter-verification entrusted to health services users’ platforms", "institution": "International Journal of Health Policy and Management", "locator": { "locator_type": "xml_text_anchor", "source_word_anchor": "counter-verification entrusted to health services users’ platforms", "source_word_count": 6 }, "material_id": "material:8cc5137c69072991bcddb217", "notes": [ "Preserve the five-district scope and do not infer a national effect from the implementation study." ], "origin": "country-evidence-improvement-sources", "period": "Implementation from 2012 to 2016, with later discussion of 2017 sustainability", "publication_date": null, "publication_year": 2018, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "64efb50c1592c6cdc295e1b1ed06f0255155ccf1045da1a4b962f3e8953a198e" }, "statement": "This mixed-methods implementation study described departmental steering, peer verification, community counter-verification and district-level performance-based financing in five supported districts; it reported modest utilization progress and quality improvement without yielding a national causal estimate.", "tags": [], "territory": "five Belgian Development Agency-supported health districts in Mono-Couffo and Atacora-Donga; not national", "title": "Performance-Based Financing to Strengthen the Health System in Benin: Challenging the Mainstream Approach", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5745866/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Salami L, Ouendo EM, Fayomi B. Quality of the information system and effectiveness of public health interventions in areas in Benin experiencing performance-based financing approach in 2014. Pan African Medical Journal. 2017;28:257. https://pmc.ncbi.nlm.nih.gov/articles/PMC6011010/", "country_ids": [ "BEN" ], "coverage_domains": [ "facility_data", "governance", "primary_care", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "quality index in the PBF_HSS (77%)", "institution": "Pan African Medical Journal", "locator": { "locator_type": "xml_text_anchor", "source_word_anchor": "quality index in the PBF_HSS (77%)", "source_word_count": 5 }, "material_id": "material:fbfd64bfa0b4a3e2e9821b4a", "notes": [ "Do not represent the study's cross-sectional comparisons as a causal programme effect or a national system measure." ], "origin": "country-evidence-improvement-sources", "period": "2014 service context; study fieldwork June to September 2015; article published 2017", "publication_date": null, "publication_year": 2017, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "8d0c92a88bbcfa32b36eee7b6c7ecc8893bb795b892ccc9c40f4062e53d1d94b" }, "statement": "The cross-sectional study compared 67 sampled health units across performance-based-financing and non-financing areas, finding higher information-system quality indices in the financing strata while leaving causal attribution and national generalization unresolved.", "tags": [], "territory": "six sampled health-zone areas and 67 sampled health units; not national", "title": "Quality of the Information System and Effectiveness of Public Health Interventions in Areas Experiencing Performance-Based Financing in Benin", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6011010/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Health Organization Regional Office for Africa. WHO Benin Country Cooperation Strategy Brief 2023-2027. Brazzaville: WHO AFRO; 2025. https://www.afro.who.int/sites/default/files/2025-07/WHO%20Country%20Cooperation%20Strategy%20Brief%20Template_Final.pdf", "country_ids": [ "BEN" ], "coverage_domains": [ "actors", "authoritative_review", "governance", "government_responsibilities", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "12 administrative departments and subdivided into 77 municipalities", "institution": "World Health Organization Regional Office for Africa", "locator": { "locator_type": "pdf_page_anchor", "physical_pdf_page": 1, "section": "Country context", "source_word_anchor": "12 administrative departments and subdivided into 77 municipalities", "source_word_count": 8 }, "material_id": "material:f3d1b3d9a20e82b8f8ff1a0a", "notes": [ "Use this brief for national context and strategic orientation, not as evidence of completed decentralization." ], "origin": "country-evidence-improvement-sources", "period": "WHO cooperation strategy period 2023-2027; brief file published 2025", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "67008c16105e8ad471539c7db09947b5e7b24d8ebbb72d720d7621a1417075dd", "page_count": 2, "response_sha256": "67008c16105e8ad471539c7db09947b5e7b24d8ebbb72d720d7621a1417075dd" }, "statement": "The WHO strategy brief identifies Benin's 12 departments and 77 municipalities and frames WHO cooperation as support to national health policy, strategy and planning; it does not establish operational delegation or provider authority.", "tags": [], "territory": "national cooperation-strategy brief", "title": "WHO Benin Country Cooperation Strategy Brief 2023-2027", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.afro.who.int/sites/default/files/2025-07/WHO%20Country%20Cooperation%20Strategy%20Brief%20Template_Final.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Documents and Reports. Benin - BJ-Health System Performance proj (FY10). 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Benin - Health System Performance Project. 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