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Clinton Global Initiative: September 22-25, 2009: Health Care Access and Quality Improves For Millions in Rwanda and Haiti Due to Innovative Performance-Based Financing Incentives
Date:9/21/2009

NEW YORK, Sept. 22 /PRNewswire-USNewswire/ -- Management Sciences for Health (MSH) today reported that the first year of its four-year $12.5 million CGI Commitment to Action to introduce and expand Performance-Based Financing (PBF) has resulted in dramatically improved quality and delivery of health services for millions of people in Rwanda and Haiti. PBF empowers health managers to allocate resources in a way that rewards meeting health goals. By improving financial management capacity and expertise, PBF strengthens the sustainability and performance of ministries of health, district and community institutions, and NGOs.

Notably, the PBF program in Rwanda contributed to: doubling deliveries in health centers (from approximately 23% in 2006 to 42% in 2008); reducing neonatal and maternal mortality; doubling the monitoring of child growth and nutritional status; and doubling vaccinations for pregnant women to protect them from tetanus. The MSH PBF program also accelerated an increase in Rwandan health center quality scores by 20 points on a scale of 100, including increases in quality of general management, health center cleanliness, and the overall quality of outpatient, obstetric, family planning, vaccination, nutrition, and HIV/TB clinics.

In Haiti, MSH expanded PBF into the public sector and enhanced community- based services to improve access to health services. In 2008, nearly 4,000,000 people (43% of the population) were reached by SDSH (Sante Pour le Developpement et la Stabilite d'Haiti) with 147 service delivery points in all 10 geographical departments. More than $6 million was secured in leveraged contributions from the private sector with about $10 million more expected by September 2010. A new deworming project, support for nutrition programs, and inventory and distribution system were launched in August 2009.

"Performance-based financing is a power
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SOURCE Management Sciences for Health
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