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The Democratic Republic of Congo (DRC) is the largest country in sub-Saharan Africa, by area. The country has a long history of conflict, political upheaval, and instability and has a very high poverty rate despite its abundance of natural resources. Mortality and fertility rates in DRC are among the highest in the world. The Health System Strengthening for Better Maternal and Child Health Result Project (PDSS - Le Projet de Developpement du Systeme de Sante) was launched in 2015 with the objective of improving utilization and quality of maternal and child health services in eleven provinces of out of the provinces in the Democratic Republic of Congo (DRC). The main component of the project is the implementation of a provider payment system reform through Performance-Based Financing (PBF), launched in the end of 2016. Contracted health facilities receive quarterly payments conditional on the volumes of targeted services provided and on quality of care. The objective of this impact evaluation is to assess whether the PBF approach impacts utilization and quality of primary health services, in comparison to equivalent amounts of unconditional financing. The rational for comparing outcomes produced by facilities implementing PBF to those produced by facilities who receive equivalent amounts of unconditional financing is to isolate the impact of the PBF incentive mechanisms from the direct impact of the additional resources received through the program.
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A self-administered questionnaire was added to the Medical Expenditures Panel Survey (MEPS) to collect information on health care utilization, access, health status and the quality of health care received. The quality of care measures were taken from an AHRQ-sponsored instrument, the Consumer Assessments of Health Plans (CAHPS). The questionnaire was administered in late 2000 and early 2001. All of the questions refer to events experienced in the last 12 months.
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A self-administered questionnaire was added to the Medical Expenditures Panel Survey (MEPS) to collect information on health care utilization, access, health status and the quality of health care received. The quality of care measures were taken from an AHRQ-sponsored instrument, the Consumer Assessments of Health Plans (CAHPS). The questionnaire was administered in late 2000 and early 2001. All of the questions refer to events experienced in the last 12 months.
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Peu connue des usagers, la PMI est souvent considérée de manière péjorative comme un service social à destination des familles en difficultés ou en danger. Or sa mission principale réside pourtant dans le suivi médical post-natal, la prévention, l'éducation et l'accompagnement des usagers. Elle réunit ainsi des professionnels de tous secteurs, ce qui en fait une structure originale et précieuse dans la prise en charge globale des besoins de la population. Réaffirmer et clarifier son rôle et ses missions, valoriser ses atouts et repenser le vivre-ensemble, telle est la démarche du médecin Kristell Guével. Dans cet ouvrage introspectif réunissant 50 chroniques au vitriol, elle nous raconte son quotidien, entre humour, colère et lucidité, réaffirmant sa conviction que la prise en charge des patients passe par l'engagement, la bienveillance et le dialogue constant avec les parents.
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O livro traz uma série de textos de profissionais da área da saúde materno-infantil. Oferece um panorama da atenção integrada às doenças prevalentes na infância, estratégia reconhecida pelo Ministério da Saúde.
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Child health insurance. --- Child health services. --- Child health services --- Federal aid to child health services. --- Finance.
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