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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Efficiency of HIV/AIDS health centers and effect of community-based health insurance and performance-based financing on HIV/AIDS service delivery in Rwanda
American Journal of Tropical Medicine and Hygiene, Volume 90, No. 4, Year 2014
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Description
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. Copyright © 2014 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Zeng, Wu
United States, Waltham
Brandeis University
Australia, Brisbane
Palladium Group Holdings Pty Ltd
Rwiyereka, Angelique K.
Rwanda, Kigali
Global Health Issues and Solutions
Amico, Peter R.
United States, Research Triangle Park
Rti International
Av́ila-Figueroa, Carlos
United States, Cambridge
Abt Associates, Inc.
Shepard, Donald Sloane
United States, Waltham
Brandeis University
Statistics
Citations: 24
Authors: 5
Affiliations: 5
Identifiers
Doi:
10.4269/ajtmh.12-0697
ISSN:
00029637
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Locations
Rwanda