 In Burkina Faso, a pilot project was implemented to test the feasibility of performance-based financing, PBF. Despite initial successes, the project was put on hold due to lack of political support and other contextual factors. Discussions are currently underway to integrate certain aspects of the PBF model into a larger user fee exemption policy. This article was authored by Matthew Cepi, Valerie Rida, and Paul Andresum.