Using Provider Performance Incentives to Increase HIV Testing and Counseling Services in Rwanda
Author(s)
Gertler, Paul J.Kwan, Ada
Vermeersch, Christel
de Dieu Bizimana, Jean
de Walque, Damien
Binagwaho, Agnès
Bautista-Arredondo, Sergio
Condo, Jeanine
Keywords
HOSPITALSDEVELOPMENT ASSISTANCE
QUALITY OF HEALTH
MOTHER-TO-CHILD TRANSMISSION
INDIVIDUAL CHARACTERISTICS
SYNDROMES
HEALTH FACILITIES
INFORMED CONSENT
PHYSICIANS
EXPENDITURES
EPIDEMICS
HUMAN IMMUNODEFICIENCY VIRUS
HIV
EPIDEMIC
SEXUAL ACTIVITY
MALARIA
COUNSELING
HEALTH SECTOR
HEALTH CENTERS
DEATHS
SEXUAL BEHAVIOR
HEALTH SERVICES RESEARCH
HIV POSITIVE
AGED
MS
PREVALENCE
MOTHER
HIV/AIDS
IMMUNIZATION
HIV INFECTIONS
ANAEMIA
HEALTH SERVICES
THERAPY
PARTNER TESTING
AIDS EPIDEMIC
DEVELOPMENT POLICY
DEVELOPING COUNTRIES
BULLETIN
POLICY RESEARCH
SOCIAL SCIENCE
BG
LABOR SUPPLY
PREGNANT WOMEN
CHILD HEALTH SERVICES
PRIMARY HEALTH-CARE
CAPACITY BUILDING
INFANTS
WORLD HEALTH ORGANIZATION
PREVENTION OF MOTHER-TO-CHILD TRANSMISSION
AIDS PATIENTS
MEDICAL CARE
QUALITY OF HEALTH CARE
ANEMIA
HOUSEHOLD SURVEYS
PROGRESS
HEALTH-CARE PROVIDERS
HIV TRANSMISSION
SERVICE PROVISION
SERVICE DELIVERY
TB
UNIVERSAL ACCESS
SEXUALLY ACTIVE
NATIONAL AIDS CONTROL
HEALTH INTERVENTIONS
HIV TESTING
PATIENTS
SEX
TUBERCULOSIS
POPULATION DENSITY
UNAIDS
POLICY RESEARCH WORKING PAPER
PROBABILITY
INCOME
HEALTH OUTCOMES
PATIENT
QUALITY OF CARE
HEALTH CARE
HEALTH SECTOR REFORM
SEXUAL PARTNER
PHYSICIAN
VOLUNTARY COUNSELING
MEDICAL PERSONNEL
YOUNG CHILDREN
MOTHER-TO-CHILD
MEDICINE
RESPECT
TREATMENT
HIV PREVENTION
INFECTION
RISK REDUCTION
DISSEMINATION
IMMUNE DEFICIENCY
SEXUAL PARTNERS
SOCIAL RESEARCH
GLOBAL DEVELOPMENT
HEALTH PROVIDERS
IMMUNODEFICIENCY
PROVIDER INCENTIVES
MARITAL STATUS
UNINFECTED PARTNER
CONTRACEPTION
GLOBAL HEALTH
HEALTH CARE PROVISION
INTERVENTION
POLICY DISCUSSIONS
BURNS
HEALTH SYSTEM PERFORMANCE
BEHAVIORAL RISK
FINANCIAL MANAGEMENT
PRIMARY CARE
MANAGEMENT SYSTEMS
HOUSEHOLD LEVEL
JOURNAL OF MEDICINE
PUBLIC SERVICES
PRENATAL CARE
MINISTRY OF HEALTH
MILLENNIUM DEVELOPMENT GOALS
HOSPITAL
HOUSEHOLD ASSETS
PUBLIC HEALTH
HUMAN DEVELOPMENT
GLOBAL POPULATION
VIRUS
NUMBER OF COUPLES
HEALTH SYSTEM
NATIONAL AIDS
MATERNAL AND CHILD HEALTH
CHILD HEALTH
IMMUNE DEFICIENCY SYNDROMES
MEDICAL SUPPLIES
Full record
Show full item recordOnline Access
http://hdl.handle.net/10986/13134Abstract
Paying for performance provides
 financial rewards to medical care providers for improvements
 in performance measured by specific utilization and quality
 of care indicators. In 2006, Rwanda began a paying for
 performance scheme to improve health services delivery,
 including HIV/AIDS services. This study examines the
 scheme's impact on individual and couples HIV testing
 and counseling and using data from a prospective
 quasi-experimental design. The study finds a positive impact
 of paying for performance with an increase of 6.1 percentage
 points in the probability of individuals having ever been
 tested. This positive impact is stronger for married
 individuals: 10.2 percentage points. The results also
 indicate larger impacts of paying for performance on the
 likelihood that the respondent reports both partners have
 ever been tested, especially among discordant couples (14.7
 percentage point increase) in which only one of the partners
 is HIV positive.Date
2013-04-10Type
Publications & ResearchIdentifier
oai:openknowledge.worldbank.org:10986/13134http://hdl.handle.net/10986/13134
Copyright/License
CC BY 3.0 IGOCollections
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