ArticleThe American journal of tropical medicine and hygiene2014
Efficiency of HIV/AIDS health centers and effect of community-based health insurance and performance-based financing on HIV/AIDS service delivery in Rwanda.
Article in The American journal of tropical medicine and hygiene, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- The state and significant drivers of health systems efficiency in Africa: A systematic review and meta-analysis.Journal of global health · 2023Pooled it
- Pooled it
- Specification of implementation interventions to address the cascade of HIV care and treatment in resource-limited settings: a systematic review.Implementation science : IS · 2017Pooled it
- Performance-based financing for improving HIV/AIDS service delivery: a systematic review.BMC health services research · 2017Pooled it
- Infertility services integrated within the maternal health department of a public hospital in a low-income country, Rwanda.F&S reports · 2023Article
- Cost-Effectiveness of Expanding Access to Primary Health Care in Rural Rwanda by Adding Laboratory-Equipped Health Posts: A Prospective, Controlled Study.The American journal of tropical medicine and hygiene · 2023Article
- Rediscovering life after being diagnosed with HIV: A qualitative analysis of lived experiences of youth living with HIV in rural Rwanda.Frontiers in reproductive health · 2022Article
- Understanding efficiency and the effect of pay-for-performance across health facilities in Tanzania.BMJ global health · 2020Article
- Assessing frontline HIV service provider efficiency using data envelopment analysis: a case study of Philippine social hygiene clinics (SHCs).BMC health services research · 2019Article
- Article
- The effect of a performance-based financing program on HIV and maternal/child health services in Mozambique-an impact evaluation.Health policy and planning · 2017Article
- The potential to expand antiretroviral therapy by improving health facility efficiency: evidence from Kenya, Uganda, and Zambia.BMC medicine · 2016Article
- The effect of performance-based financing on illness, care-seeking and treatment among children: an impact evaluation in Rwanda.BMC health services research · 2015Article
- Race to the Top: evaluation of a novel performance-based financing initiative to promote healthcare delivery in rural Rwanda.Global health actionArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study evaluates the efficiency of rural health centers in Rwanda in delivering the three key human immunodeficiency virus/acquired immunodeficiency syndrome services: antiretroviral treatment, prevention of mother-to-child transmission, and voluntary counseling and testing using data envelopment analysis, and assesses the impact of community-based health insurance (CBHI) and performance-based financing on improving the delivery of the three services. Results show that health centers average efficiency of 78%, and despite the observed variation, the performance increased by 15.6% from 2006 through 2007. When the services are examined separately, each 1% growth of CBHI use was associated with 3.7% more prevention of mother-to-child transmission and 2.5% more voluntary counseling and testing services. Although more health centers would have been needed to evaluate performance-based financing, we found that high use of CBHI in Rwanda was an important contributor to improving human immunodeficiency virus/acquired immunodeficiency syndrome services in rural health centers in Rwanda.
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Registered trials
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