MSH Presents Results at Global AIDS Meeting in Namibia
MSH staff reported on the results of projects in Ethiopia, Kenya, Namibia, and Rwanda at this year’s meeting of agencies that implement programs funded by the US President’s Emergency Plan for AIDS Relief (PEPFAR) in Windhoek, Namibia, from June 10 to 14. The meeting brought together about 1,500 people from 55 countries to share best practices and lessons learned in the fight against AIDS. The meeting focused on:
- optimizing the impact of prevention, care, and treatment programs
- enhancing program quality
- promoting coordination among partners
- encouraging innovative responses
The Rwandan Ministry of Health, with technical assistance from PEPFAR through MSH, has since 2006 rolled out PBF for HIV and basic health services nationwide. Through collaborating agencies, PEPFAR is purchasing HIV services and providing technical assistance to the national PBF model.
This poster described how systems have been strengthened through PBF for HIV services in health centers and district hospitals. All 405 Rwandan health centers and 39 district hospitals participate in this scheme, through which indicators of the quality of HIV and basic health services are tracked. The system measures adherence to norms of service quality, and performance incentives are determined based on this assessment of service performance. From January to December 2008, average quality across 284 health centers increased from 71 percent to 84 percent, while during the same period, the average volume of services increased by 49 percent. For 13 district hospitals supported by US Government funding, average performance over six consecutive quarterly evaluations increased from 42 percent to 76 percent.
System strengthening through PBF for HIV services in Rwanda not only improves quality but also significantly contributes to health workers’ salaries, which are pooled at facilities and used to pay performance bonuses to staff and to fund maintenance and quality improvements.