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Table 2 DCE insurance payment attributes and levels

From: Health worker preferences for community-based health insurance payment mechanisms: a discrete choice experiment

Number Payment element Level Payment modality
1 Level of capitation payment per individual A 500 FCFA per child (under 15 years of age) and 1500 FCFA per adult (current level)
B 500 FCFA per child (under 15 years of age) and 1500 FCFA per adult. Children will continue to pay 500 FCFA, while a 1000 FCFA subsidy (financed by an external fourth party) will be added for payment to facilities for each child enrolled
2 Capitation payment schedule A Payment one time per year (current schedule)
B Payment twice per year (each April and July)
C Payment four times per year (each quarter)
3 Annual allocation of medical supplies/equipment by CBI scheme A None (current allocation)
B Basic medical supplies (cotton, alcohol, Bétadine, Sparadrap)
C Basic medical supplies (cotton, alcohol, Bétadine, Sparadrap) and medical equipment (tension meter, stethoscope, thermometer, scale, height gauge)
4 Reimbursement of service fees (consultation + medical acts), financed by an external fourth party A None (current reimbursement)
B Reimbursement at 50% the price of service fees paid by non-enrollees
C Reimbursement at 100% the price of service fees paid by non-enrollees
5 Results-based financing (RBF) – indicator to determine size of payment A By individual enrolled (500 FCFA for new enrollees and 250 FCFA for re-enrollees)
B By household enrolled (2000 FCFA for newly enrolled households and 1000 FCFA for households who renew their membership)
C A monetary award for the three best health facilities, based on the increase in CBI coverage between the previous and the current year
6 Results-based financing (RBF) – recipient. A Individual health agents (distribution of RBF among different team members will be pre-determined and applied district-wide)
B Global payment for health worker team (method of RBF distribution among different team members will be decided by the facility team members)
C Local health facility management committee will decide on method of RBF distribution among health workers and facility needs
  1. FCFA: Franc Communauté Financière Africaine CFA, the local currency used in Burkina Faso. 500 FCFA = $1 USD.