The World Bank – Kyrgyz Health Results Based Financing

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Project Status: Closed
Project at-a-glance
Project Name Kyrgyz Health Results Based Financing
Project Number P120435
Sector/Subsector Health
Country Kyrgyz Republic
Project Opening Date 18 Apr 2013
Project Closing Date 30 Jun 2017
Responsible Institution
Responsible International Financial Institution The World Bank
Responsible Executive Agencies

Ministry of Health in the Kyrgyz Republic

Objectives
Strategic Agenda

To (a) introduce alternative provider payment mechanisms through RBF and enhanced supervision, in randomly selected rayon hospitals, to pilot and test alternatives for improving the quality of health services, and (b) strengthen the Government’s and providers capacity for collecting, monitoring and evaluating information regarding the quality of health services.

Description

The project will consist of the following components: Component 1: Pilot and Test Alternatives for Improving the Quality of Health Services at Rayon Level Hospitals. In order to test alternatives for improving the quality of health services, this component will introduce: (a) enhanced supervision under a balanced scorecard, and (b) a performance-based incentive payment. Component 2: Strengthen the Government’s and Providers Capacity for Collecting, Monitoring and Evaluating Information. The introduction of the enhanced supervision under the balanced scorecard, and performance-based incentive payments will require extensive capacity building, not only for the MOH and MHIF, but also for the participating facilities as well. Through activities under this Component, MOH and the MHIF will receive support to become more effective and efficient in the purchasing, regulation and quality control of health care services, and in monitoring and evaluating results. Participating facilities will receive training and other support to understand the implications of the systems being piloted, and to diagnose issues and put in place mechanisms to improve quality. In addition, this component will finance a small Project Coordination Unit to ensure that the piloted activities proceed smoothly. Component 3: Impact Evaluation of Pay-for-performance scheme A randomized controlled design will be employed to conduct a rigorous impact evaluation to assess the impact of incentivized payments as well as increased monitoring, against increased monitoring alone, on quality of care (using a balanced scorecard of indicators). This will be performed in hospitals at the rayon level. The randomized design will include 3 groups: (1) incentive payment + intensive monitoring in 20 hospitals; (2) intensive monitoring alone in 20 hospitals; and (3) pure control group with no intervention.

Source of Funding

The World Bank

Amount of Funding

US$ 11.00  million

Project Outcome

Strengthened the Government’s and providers capacity for collecting, monitoring and evaluating information regarding the quality of health services.

Business Opportunities
Consulting Services

N/A
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Procurement

N/A
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Contact Information of International Financial Institution
Organization/Department The World Bank
Name Asel Sargaldakova
Address 214 Moskovskaya St.
Province/State Bishkek
Postal Code 720010
Country Kyrgyz Republic
Phone +996 (312) 625 262
E-mail

dakmatbekova@worldbank.org

Website

www.worldbank.org

Contact Information of Project Implementer
Organization/Department Ministry of Health in the Kyrgyz Republic
Name Mederbek Ismailov
Address 148 Moskovskaya Str.
Province/State Bishkek
Postal Code 720040
Country Kyrgyz Republic
Phone +996 (312) 622 680
E-mail

mz@med.kg

Website

www.med.kg