Using provider performance incentives to increase HIV testing and counseling services in Rwanda

Damien de Walque, Paul Gertler, Sergio Bautista-Arredondo, Ada Kwan, Christel Vermeersch, Jean de Dieu Bizimana, Agnès Binagwaho and Jeanine Condo

Journal of Health Economics, 2015, vol. 40, issue C, 1-9

Abstract: Paying for performance provides financial rewards to medical care providers for improvements in performance measured by utilization and quality of care indicators. In 2006, Rwanda began a pay for performance scheme to improve health services delivery, including HIV/AIDS services. Using a prospective quasi-experimental design, this study examines the scheme's impact on individual and couples HIV testing. We find a positive impact of pay for performance on HIV testing among married individuals (10.2 percentage points increase). Paying for performance also increased testing by both partners by 14.7 percentage point among discordant couples in which only one of the partners is an AIDS patient.

Keywords: Performance-based financing; HIV testing and counseling; Africa; Health human resources; Couple testing (search for similar items in EconPapers)
JEL-codes: I12 O15 (search for similar items in EconPapers)
Date: 2015
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (25)

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Working Paper: Using provider performance incentives to increase HIV testing and counseling services in Rwanda (2013)
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Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:40:y:2015:i:c:p:1-9

DOI: 10.1016/j.jhealeco.2014.12.001

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