Rwanda
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Washington, DC
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Ensuring that women and children receive
quality health care is a key to alleviating poverty, but in
many developing countries, access to appropriate medical
care is limited. In recent years, policymakers and health
experts have promoted the use of performance-based bonuses
to motivate health-care workers to follow best practices and
ensure that patients receive key medical services. As part
of this, the international research community is working to
measure when and how such pay-for-performance programs are
most effective. To help build a body of evidence on how to
encourage and support quality healthcare, the World Bank
supported a study of government-run and faith-based health
clinics in Rwanda. The 23-month evaluation, the first
rigorous one of its kind in a low-income country, found that
performance-based bonuses helped raise the quality and use
of health services for women and children. This Evidence to
Policy note was jointly produced by the World Bank Group,
the Strategic Impact Evaluation Fund (SIEF), and the British
governments Department for International Development.
Palabras clave
AGED, APPROPRIATE MEDICAL CARE, BIRTHS, CHILDHOOD, CLINICS, DYING, FAMILIES, HEALTH CARE, HEALTH CARE CENTERS, HEALTH CENTERS, HEALTH CLINICS, HEALTH EXPERTS, HEALTH OUTCOMES, HEALTH PROVIDERS, HEALTH SERVICES, HEALTH WORKERS, HEALTHCARE, HUMAN DEVELOPMENT, IMMUNIZATION, INCOME, MEDICAL ATTENTION, MEDICAL CARE, MEDICAL SERVICES, MORTALITY, MOTHER, MOTHERS, PATIENT, PATIENTS, PREGNANCIES, PREGNANCY, PREGNANT WOMAN, PREGNANT WOMEN, PRENATAL CARE, PREVENTIVE CARE, PRIMARY HEALTH CARE, PROVIDER INCENTIVES, QUALITY OF CARE, QUALITY OF HEALTH, QUALITY OF HEALTH CARE, TETANUS, TREATMENT, VACCINE, VISITS, WOMAN, WORKERS