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

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dc.contributor.author
de Walque, Damien
en_US
dc.contributor.author
Gertler, Paul J
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dc.contributor.author
Bautista-Arredondo, Sergio
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dc.contributor.author
Kwan, Ada
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dc.contributor.author
Vermeersch, Christel
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dc.contributor.author
de Dieu Bizimana, Jean
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dc.contributor.author
Binagwaho, Agnès
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dc.contributor.author
Condo, Jeanine
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dc.date.accessioned
2013-04-10T19:12:09Z
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dc.date.available
2013-04-10T19:12:09Z
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dc.date.issued
2013-02
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dc.identifier.uri
http://hdl.handle.net/10986/13134
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dc.description.abstract
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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dc.language
English
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dc.language.iso
en_US
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dc.publisher
World Bank, Washington, DC
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dc.relation.ispartofseries
Policy Research Working Paper;No. 6364
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dc.rights
CC BY 3.0 Unported
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dc.rights.uri
http://creativecommons.org/licenses/by/3.0/
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dc.subject
AGED
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dc.subject
AIDS EPIDEMIC
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dc.subject
AIDS PATIENTS
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dc.subject
ANAEMIA
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dc.subject
ANEMIA
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dc.subject
BEHAVIORAL RISK
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dc.subject
BG
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dc.subject
BULLETIN
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dc.subject
BURNS
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dc.subject
CAPACITY BUILDING
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dc.subject
CHILD HEALTH
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CHILD HEALTH SERVICES
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dc.subject
CONTRACEPTION
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COUNSELING
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DEATHS
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dc.subject
DEVELOPING COUNTRIES
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DEVELOPMENT ASSISTANCE
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DEVELOPMENT POLICY
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DISSEMINATION
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dc.subject
EPIDEMIC
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EPIDEMICS
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dc.subject
EXPENDITURES
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dc.subject
FINANCIAL MANAGEMENT
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dc.subject
GLOBAL DEVELOPMENT
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dc.subject
GLOBAL HEALTH
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dc.subject
GLOBAL POPULATION
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dc.subject
HEALTH CARE
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dc.subject
HEALTH CARE PROVISION
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dc.subject
HEALTH CENTERS
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dc.subject
HEALTH FACILITIES
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dc.subject
HEALTH INTERVENTIONS
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dc.subject
HEALTH OUTCOMES
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dc.subject
HEALTH PROVIDERS
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dc.subject
HEALTH SECTOR
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dc.subject
HEALTH SECTOR REFORM
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dc.subject
HEALTH SERVICES
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dc.subject
HEALTH SERVICES RESEARCH
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dc.subject
HEALTH SYSTEM
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dc.subject
HEALTH SYSTEM PERFORMANCE
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dc.subject
HEALTH-CARE PROVIDERS
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dc.subject
HIV
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dc.subject
HIV INFECTIONS
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dc.subject
HIV POSITIVE
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dc.subject
HIV PREVENTION
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dc.subject
HIV TESTING
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dc.subject
HIV TRANSMISSION
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dc.subject
HIV/AIDS
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dc.subject
HOSPITAL
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dc.subject
HOSPITALS
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dc.subject
HOUSEHOLD ASSETS
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dc.subject
HOUSEHOLD LEVEL
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dc.subject
HOUSEHOLD SURVEYS
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dc.subject
HUMAN DEVELOPMENT
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dc.subject
HUMAN IMMUNODEFICIENCY VIRUS
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dc.subject
IMMUNE DEFICIENCY
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dc.subject
IMMUNE DEFICIENCY SYNDROMES
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dc.subject
IMMUNIZATION
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dc.subject
IMMUNODEFICIENCY
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dc.subject
INCOME
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dc.subject
INDIVIDUAL CHARACTERISTICS
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dc.subject
INFANTS
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dc.subject
INFECTION
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dc.subject
INFORMED CONSENT
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dc.subject
INTERVENTION
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dc.subject
JOURNAL OF MEDICINE
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dc.subject
LABOR SUPPLY
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dc.subject
MALARIA
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dc.subject
MANAGEMENT SYSTEMS
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dc.subject
MARITAL STATUS
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dc.subject
MATERNAL AND CHILD HEALTH
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dc.subject
MEDICAL CARE
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dc.subject
MEDICAL PERSONNEL
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dc.subject
MEDICAL SUPPLIES
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dc.subject
MEDICINE
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dc.subject
MILLENNIUM DEVELOPMENT GOALS
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dc.subject
MINISTRY OF HEALTH
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dc.subject
MOTHER
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MOTHER-TO-CHILD
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MOTHER-TO-CHILD TRANSMISSION
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dc.subject
MS
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dc.subject
NATIONAL AIDS
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NATIONAL AIDS CONTROL
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dc.subject
NUMBER OF COUPLES
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PARTNER TESTING
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PATIENT
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dc.subject
PATIENTS
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PHYSICIAN
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PHYSICIANS
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POLICY DISCUSSIONS
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POLICY RESEARCH
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dc.subject
POLICY RESEARCH WORKING PAPER
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POPULATION DENSITY
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dc.subject
PREGNANT WOMEN
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PRENATAL CARE
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PREVALENCE
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PREVENTION OF MOTHER-TO-CHILD TRANSMISSION
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dc.subject
PRIMARY CARE
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dc.subject
PRIMARY HEALTH-CARE
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dc.subject
PROBABILITY
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dc.subject
PROGRESS
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dc.subject
PROVIDER INCENTIVES
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dc.subject
PUBLIC HEALTH
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dc.subject
PUBLIC SERVICES
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dc.subject
QUALITY OF CARE
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dc.subject
QUALITY OF HEALTH
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QUALITY OF HEALTH CARE
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dc.subject
RESPECT
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RISK REDUCTION
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dc.subject
SERVICE DELIVERY
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SERVICE PROVISION
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dc.subject
SEX
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dc.subject
SEXUAL ACTIVITY
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SEXUAL BEHAVIOR
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dc.subject
SEXUAL PARTNER
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dc.subject
SEXUAL PARTNERS
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dc.subject
SEXUALLY ACTIVE
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dc.subject
SOCIAL RESEARCH
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dc.subject
SOCIAL SCIENCE
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dc.subject
SYNDROMES
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dc.subject
TB
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THERAPY
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dc.subject
TREATMENT
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TUBERCULOSIS
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UNAIDS
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UNINFECTED PARTNER
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UNIVERSAL ACCESS
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dc.subject
VIRUS
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dc.subject
VOLUNTARY COUNSELING
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dc.subject
WORLD HEALTH ORGANIZATION
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dc.subject
YOUNG CHILDREN
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dc.title
Using Provider Performance Incentives to Increase HIV Testing and Counseling Services in Rwanda
en_US
okr.identifier.externaldocumentum
000158349_20130219134453
en_US
okr.identifier.internaldocumentum
17361443
en_US
okr.volume
1 of 1
en_US
okr.date.disclosure
2013-02-01
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okr.topic
Health, Nutrition and Population :: HIV AIDS
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okr.topic
Health, Nutrition and Population :: Population Policies
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okr.topic
Health Monitoring and Evaluation
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okr.topic
Disease Control and Prevention
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okr.topic
Health Systems Development and Reform
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okr.topic
Health
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okr.topic
Nutrition and Population
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okr.region.administrative
Africa
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okr.identifier.report
WPS6364
en_US
okr.identifier.doi
10.1596/1813-9450-6364
en_US
okr.unit
Development Research Group (DECRG)
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okr.region.country
Rwanda
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okr.doctype
Publications & Research :: Policy Research Working Paper
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okr.doctype
Publications & Research
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dc.rights.holder
World Bank
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okr.relation.associatedurl
https://openknowledge.worldbank.org/handle/10986/21416
en_US
okr.globalpractice
Health, Nutrition, and Population
en_US
okr.googlescholar.linkpresent
yes

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