Rwanda : Will More People Be Tested for HIV if Clinics Are Paid Extra?
The world has made great strides toward ending AIDS. Yet the deadly disease remains a critical development challenge for poor countries. Sub-Saharan Africa, which has only 12 percent of the global population, is home to about 68 percent of all peop...
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| Format: | Brief |
| Language: | English en_US |
| Published: |
Washington, DC
2015
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| Online Access: | http://documents.worldbank.org/curated/en/2015/02/24089722/rwanda-more-people-tested-hiv-clinics-paid-extra http://hdl.handle.net/10986/22634 |
| Summary: | The world has made great strides toward
ending AIDS. Yet the deadly disease remains a critical
development challenge for poor countries. Sub-Saharan
Africa, which has only 12 percent of the global population,
is home to about 68 percent of all people living with HIV.
Improving rates of HIV testing in order to identify and
counsel infected people is necessary for halting
transmission of the virus and ensuring that people who are
infected can get treated. The challenge is how to improve
rates of testing, especially among couples where one partner
is infected and either doesn t know or hasn t told the
partner. Increasingly, pay-for-performance is being
considered as an option for improving health care for
pregnant women and children. Development experts and
policymakers are interested in whether bonus payments can
work in other areas of health care, such as improving the
rate of HIV testing and treatment, especially in couples.
evaluation found that the payments increased the likelihood
that people who were part of a couple would get tested,
showing that pay-for-performance could be a route for
improving testing (and thus making available information on
how to prevent HIV transmission) among those who face risk
of infection from their partner. The results are
particularly important for Sub-Saharan Africa, where
according to 2009 World Health Organization data, nearly 80
percent of HIV-infected adults are unaware of their HIV
status, and more than 90 percent don t know if their
partners are infected. |
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