Using Provider Performance Incentives to Increase HIV Testing and Counseling Services in Rwanda
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 ser...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Policy Research Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2013
|
| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2013/02/17361443/using-provider-performance-incentives-increase-hiv-testing-counseling-services-rwanda http://hdl.handle.net/10986/13134 |
| Summary: | 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. |
|---|