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Publications & Research :: Policy Research Working Paper

Using Provider Performance Incentives to Increase HIV Testing and Counseling Services in Rwanda

AGED AIDS EPIDEMIC AIDS PATIENTS ANAEMIA ANEMIA BEHAVIORAL RISK BG BULLETIN BURNS CAPACITY BUILDING CHILD HEALTH CHILD HEALTH SERVICES CONTRACEPTION COUNSELING DEATHS DEVELOPING COUNTRIES DEVELOPMENT ASSISTANCE DEVELOPMENT POLICY DISSEMINATION EPIDEMIC EPIDEMICS EXPENDITURES FINANCIAL MANAGEMENT GLOBAL DEVELOPMENT GLOBAL HEALTH GLOBAL POPULATION HEALTH CARE HEALTH CARE PROVISION HEALTH CENTERS HEALTH FACILITIES HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH PROVIDERS HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICES HEALTH SERVICES RESEARCH HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH-CARE PROVIDERS HIV HIV INFECTIONS HIV POSITIVE HIV PREVENTION HIV TESTING HIV TRANSMISSION HIV/AIDS HOSPITAL HOSPITALS HOUSEHOLD ASSETS HOUSEHOLD LEVEL HOUSEHOLD SURVEYS HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS IMMUNE DEFICIENCY IMMUNE DEFICIENCY SYNDROMES IMMUNIZATION IMMUNODEFICIENCY INCOME INDIVIDUAL CHARACTERISTICS INFANTS INFECTION INFORMED CONSENT INTERVENTION JOURNAL OF MEDICINE LABOR SUPPLY MALARIA MANAGEMENT SYSTEMS MARITAL STATUS MATERNAL AND CHILD HEALTH MEDICAL CARE MEDICAL PERSONNEL MEDICAL SUPPLIES MEDICINE MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MOTHER MOTHER-TO-CHILD MOTHER-TO-CHILD TRANSMISSION MS NATIONAL AIDS NATIONAL AIDS CONTROL NUMBER OF COUPLES PARTNER TESTING PATIENT PATIENTS PHYSICIAN PHYSICIANS POLICY DISCUSSIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POPULATION DENSITY PREGNANT WOMEN PRENATAL CARE PREVALENCE PREVENTION OF MOTHER-TO-CHILD TRANSMISSION PRIMARY CARE PRIMARY HEALTH-CARE PROBABILITY PROGRESS PROVIDER INCENTIVES PUBLIC HEALTH PUBLIC SERVICES QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE RESPECT RISK REDUCTION SERVICE DELIVERY SERVICE PROVISION SEX SEXUAL ACTIVITY SEXUAL BEHAVIOR SEXUAL PARTNER SEXUAL PARTNERS SEXUALLY ACTIVE SOCIAL RESEARCH SOCIAL SCIENCE SYNDROMES TB THERAPY TREATMENT TUBERCULOSIS UNAIDS UNINFECTED PARTNER UNIVERSAL ACCESS VIRUS VOLUNTARY COUNSELING WORLD HEALTH ORGANIZATION YOUNG CHILDREN
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World Bank, Washington, DC
Africa | Rwanda
2013-04-10T19:12:09Z | 2013-04-10T19:12:09Z | 2013-02

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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