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Using Provider Performance Incentives to Increase HIV Testing and Counseling Services in Rwanda / Damien de Walque
World Bank Open Knowledge Repository (formerly "World Bank E-Library Publications") Available online
View online- Format:
- Book
- Government document
- Author/Creator:
- De Walque, Damien
- Series:
- Policy research working papers.
- World Bank e-Library.
- Language:
- English
- Subjects (All):
- Disease Control & Prevention.
- Health Monitoring & Evaluation.
- Health Systems Development & Reform.
- HIV AIDS.
- HIV testing and Counseling.
- Performance-based financing.
- Population Policies.
- Public Sector Development.
- Social Development.
- Africa.
- Local Subjects:
- Disease Control & Prevention.
- Health Monitoring & Evaluation.
- Health Systems Development & Reform.
- HIV AIDS.
- HIV testing and Counseling.
- Performance-based financing.
- Population Policies.
- Public Sector Development.
- Social Development.
- Africa.
- Physical Description:
- 1 online resource (24 pages)
- Place of Publication:
- Washington, D.C., The World Bank, 2013
- System Details:
- data file
- 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.
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