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Performance-Based Financing: A Mechanism to Improve Uptake of Pediatric and Maternal HIV Care and Treatment. Joseph ATTIAH, Program and Grants Liaison Officer , EGPAF-Côte d’Ivoire. BACKGROUND.
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Performance-Based Financing: A Mechanism to Improve Uptake of Pediatric and Maternal HIV Care and Treatment Joseph ATTIAH, Program and Grants Liaison Officer, EGPAF-Côte d’Ivoire
BACKGROUND Established In Côte d’Ivoire since 2004, EGPAF focuses it’s support on C&T programs and PMTCT of HIV (project HEART) By 2006, EGPAF initiated a strategic approach of partnership called PBF to enhance services provided on both quantitative and qualitative plans PBF links the financial incentives to quantity and quality services provided to beneficiaries (PLWHIV and their families) The present study was set out to examine uptake of indicators selected within the PMTCT cascade 137 supported sites including PBF and non-PBF sites were concern
METHODS Retrospective comparative analysis of routinely data collected from January 2008 to June 2009 Concerns indicators: % of Pregnant women that received HIV counseling and testing % of Pregnant women who received their HIV test results % of Pregnant women LWHIV who received ARV prophylaxis % of children born to mothers LWHIV who received ARV prophylaxis in delivery
LESSONS LEARNED • PBF contributes to improving the quality of HIV-related services and the level of progress for indicators linked to the PMTCT cascade, in particular for maternal and pediatric care. • In depth studies are planned in order to : • Provide further informations to improve the approach • explain better the difference uptake observed (explanatory factors) • Analyze and define how to expand this alternative of health financing at the national level