The research is an impact evaluation of a performance-based financing (PBF) scheme for health care, including basic preventive and curative health care services and HIV/AIDS treatment, implemented in Rwanda from 2006-2008.
While results from pilot schemes in several provinces in 2002 suggest improvements in service delivery and key health outcomes, the global health community lacks empirical evidence as to whether PBF is a feasible method for increasing access to quality health care services, improving quality of care, and significantly improving health outcomes. This evaluation takes advantage of a prospective quasi-experimental design in order to test the hypotheses that PBF for both general and HIV/AIDS health care services increases the quantity and quality of health services delivered, and improves the health status of the population. In addition, the HIV/AIDS component of the evaluation will use the PBF treatment as an instrument to investigate whether or not improved health status from access to ART improves the socio-economic status of HIV/AIDS patients’ households.
The evidence generated will serve the Rwandan health community as they prepare for expansion of PBF programs within Rwanda, as well as the international community as it searches for more effective methods for addressing critical health care delivery issues.