East Africa Public Health Laboratory Networking Project
This report summarizes the main findings from the application of performance based incentives linked to progress on a standardized, globally recognized metric - the stepwise laboratory improvement process towards accreditation (SLIPTA) checklist - under the East Africa Public Health Laboratory Netwo...
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| creator | Kumar, Meghan Lehmann, Joel Rucogoza, Aniceth Kayobotsi, Claver Das, Ashis Schneidman, Miriam |
| description | This report summarizes the main findings
from the application of performance based incentives linked
to progress on a standardized, globally recognized metric -
the stepwise laboratory improvement process towards
accreditation (SLIPTA) checklist - under the East Africa
Public Health Laboratory Networking Project (EAPHLNP) in
Rwanda. The lab performance-based financing (PBF) pilot was
introduced in the context of a well-established national PBF
program dating back to the early 2000s. The flexible nature
of the EAPHLNP and the favorable context in Rwanda provided
an ideal backdrop to introduce PBF incentive payments to
accelerate progress of five project supported labs towards
accreditation. The evaluation found improved laboratory
performance at all project-supported laboratories in Rwanda
as measured by the SLIPTA scores. For the first time,
laboratories were bringing in PBF revenues, instilling a
culture of continuous quality improvements, and focusing
management attention on accreditation. PBF appears to have
contributed to an accelerated change, with PBF laboratories
experiencing an overall greater increase in SLIPTA scores
compared to project-supported laboratories in the other
countries. No clear patterns were found in terms of improved
test volumes or test accuracy, which were not part of the
pilot scheme. While it was difficult to disentangle the
effects of different interventions, the evaluation found a
system-strengthening value to combining investments in
modernizing laboratories, and strengthening human resources
with PBF. Relationships between laboratory staff and
clinicians improved, with laboratory managers having a
greater voice in hospital management and lab staff
increasingly valued and respected by clinicians. A spirit of
teamwork prevailed at participating sites. Other countries
considering PBF mechanisms for public health laboratories
need to take into account lessons learned and assess the
features which may be relevant to their own contexts. PBF
schemes for laboratories need to be viewed as an integral
part of a package of interventions that contribute to
enhanced performance. |
| format | Article |
| fullrecord | <record><control><sourceid>worldbank_VO9</sourceid><recordid>TN_cdi_worldbank_openknowledgerepository_10986_24400</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>oai:openknowledge.worldbank.org:10986/24400</sourcerecordid><originalsourceid>FETCH-worldbank_openknowledgerepository_10986_244003</originalsourceid><addsrcrecordid>eNrjZDB3TSwuUXBMK8pMTlQIKE3KyUxW8EhNzCnJUPBJTMovSizJL6pU8EstKc8vys7MS1cIKMrPSk0u4WFgTUvMKU7lhdLcDCZuriHOHrpAdTkpSYl52fH5Bal52Xn55TmpKempRakF-cWZIMPiDQ0sLczijUxMDAyMydQGAH66Plw</addsrcrecordid><sourcetype>Publisher</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>East Africa Public Health Laboratory Networking Project</title><source>Open Knowledge Repository</source><creator>Kumar, Meghan ; Lehmann, Joel ; Rucogoza, Aniceth ; Kayobotsi, Claver ; Das, Ashis ; Schneidman, Miriam</creator><creatorcontrib>Kumar, Meghan ; Lehmann, Joel ; Rucogoza, Aniceth ; Kayobotsi, Claver ; Das, Ashis ; Schneidman, Miriam</creatorcontrib><description>This report summarizes the main findings
from the application of performance based incentives linked
to progress on a standardized, globally recognized metric -
the stepwise laboratory improvement process towards
accreditation (SLIPTA) checklist - under the East Africa
Public Health Laboratory Networking Project (EAPHLNP) in
Rwanda. The lab performance-based financing (PBF) pilot was
introduced in the context of a well-established national PBF
program dating back to the early 2000s. The flexible nature
of the EAPHLNP and the favorable context in Rwanda provided
an ideal backdrop to introduce PBF incentive payments to
accelerate progress of five project supported labs towards
accreditation. The evaluation found improved laboratory
performance at all project-supported laboratories in Rwanda
as measured by the SLIPTA scores. For the first time,
laboratories were bringing in PBF revenues, instilling a
culture of continuous quality improvements, and focusing
management attention on accreditation. PBF appears to have
contributed to an accelerated change, with PBF laboratories
experiencing an overall greater increase in SLIPTA scores
compared to project-supported laboratories in the other
countries. No clear patterns were found in terms of improved
test volumes or test accuracy, which were not part of the
pilot scheme. While it was difficult to disentangle the
effects of different interventions, the evaluation found a
system-strengthening value to combining investments in
modernizing laboratories, and strengthening human resources
with PBF. Relationships between laboratory staff and
clinicians improved, with laboratory managers having a
greater voice in hospital management and lab staff
increasingly valued and respected by clinicians. A spirit of
teamwork prevailed at participating sites. Other countries
considering PBF mechanisms for public health laboratories
need to take into account lessons learned and assess the
features which may be relevant to their own contexts. PBF
schemes for laboratories need to be viewed as an integral
part of a package of interventions that contribute to
enhanced performance.</description><language>eng</language><publisher>World Bank, Washington, DC</publisher><subject>AGE ; BEST PRACTICES ; CAPABILITIES ; CAPACITY BUILDING ; CELLS ; CERTIFICATES ; CHILD HEALTH SERVICES ; CITIZENS ; COMMUNICATION ; COMMUNICATION TECHNOLOGIES ; COMMUNICATIONS TECHNOLOGY ; COMMUNITY HEALTH ; CONFIDENTIALITY ; CONSULTANT ; CREATIVE SOLUTIONS ; CUSTOMER ; CUSTOMER SERVICE ; DATA ; DATA ANALYSIS ; DATA COLLECTION ; DOCUMENTS ; EFFECTS ; ENABLING ENVIRONMENT ; EVALUATION ; EXERCISES ; EXPERIMENTAL DESIGN ; FIELD WORK ; FINANCIAL CONSTRAINTS ; FINANCIAL SUPPORT ; FUND MANAGEMENT ; GRANTS ; HARDWARE ; HEALTH ; HEALTH AUTHORITIES ; HEALTH CARE ; HEALTH OUTCOMES ; HEALTH POLICY ; HEALTH SERVICES ; HOSPITALIZATION ; HOSPITALS ; HUMAN RESOURCES ; ICT ; IMMUNE SYSTEM ; IMPLEMENTATION ; IMPROVEMENT ; INDICATORS ; INFORMANTS ; INFORMATION ; INFRASTRUCTURE ; INNOVATION ; INNOVATIONS ; INSTITUTIONAL FRAMEWORK ; INSTITUTIONALIZATION ; INSTITUTIONS ; INTERNET ; INTERVENTION ; INTERVIEW ; INTERVIEWS ; INVENTORY ; ISOLATION ; KNOWLEDGE ; KNOWLEDGE SHARING ; LAB ; LABORATORIES ; LABORATORY ; LABORATORY ACCREDITATION ; LABORATORY EQUIPMENT ; LABORATORY INFRASTRUCTURE ; LABORATORY TECHNICIANS ; LABS ; MANAGEMENT SYSTEM ; MANAGEMENT SYSTEMS ; MATERIAL ; MEASUREMENT ; MEASURES ; METHODOLOGY ; METHODS ; MISSING DATA ; MONITORING ; MORBIDITY ; MORTALITY ; NETWORK ; NURSES ; NUTRITION ; PATIENT ; PATIENT SATISFACTION ; PATIENTS ; PAYOUT ; PERFORMANCE INDICATOR ; PERFORMANCE INDICATORS ; PHYSICIANS ; PILOT PROJECT ; PLANNING ; PREVENTION ; PRIMARY HEALTH CARE ; PROCUREMENT ; PROTOCOL ; PUBLIC HEALTH ; QUALITATIVE DATA ; QUALITY MANAGEMENT ; QUALITY OF SERVICE ; QUANTITATIVE DATA ; QUANTITATIVE RESEARCH ; RAW DATA ; REGRESSION ANALYSIS ; RESEARCH DESIGN ; RESEARCH FINDINGS ; RESEARCH METHODS ; RESULT ; RESULTS ; RIGHTS ; RISKS ; SAFETY OFFICER ; SAMPLES ; SAMPLING ; SATELLITE ; SCENARIOS ; SCIENCES ; SERVICE PROVIDERS ; SITES ; SIZE ; SPECIMENS ; STANDARDIZATION ; STATISTICAL ANALYSIS ; STRATEGY ; STRESS ; SUPERVISION ; SURVEILLANCE ; SURVEYS ; TARGETS ; TECHNICAL STAFF ; TECHNOLOGIES ; TECHNOLOGY ; TESTING ; TESTING SERVICES ; TESTS ; THEORY ; TIME ; TRANSACTION ; TRAVEL ; TRIGGER ; TURNAROUND TIMES ; USES ; VALIDITY ; VERIFICATION ; WASTE ; WEB ; WEB PORTAL ; WEIGHT ; WORK ENVIRONMENT ; WORKERS</subject><creationdate>2016-04</creationdate><rights>CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>776,780,18962</link.rule.ids><linktorsrc>$$Uhttps://hdl.handle.net/10986/24400$$EView_record_in_World_Bank$$FView_record_in_$$GWorld_Bank$$Hfree_for_read</linktorsrc></links><search><creatorcontrib>Kumar, Meghan</creatorcontrib><creatorcontrib>Lehmann, Joel</creatorcontrib><creatorcontrib>Rucogoza, Aniceth</creatorcontrib><creatorcontrib>Kayobotsi, Claver</creatorcontrib><creatorcontrib>Das, Ashis</creatorcontrib><creatorcontrib>Schneidman, Miriam</creatorcontrib><title>East Africa Public Health Laboratory Networking Project</title><description>This report summarizes the main findings
from the application of performance based incentives linked
to progress on a standardized, globally recognized metric -
the stepwise laboratory improvement process towards
accreditation (SLIPTA) checklist - under the East Africa
Public Health Laboratory Networking Project (EAPHLNP) in
Rwanda. The lab performance-based financing (PBF) pilot was
introduced in the context of a well-established national PBF
program dating back to the early 2000s. The flexible nature
of the EAPHLNP and the favorable context in Rwanda provided
an ideal backdrop to introduce PBF incentive payments to
accelerate progress of five project supported labs towards
accreditation. The evaluation found improved laboratory
performance at all project-supported laboratories in Rwanda
as measured by the SLIPTA scores. For the first time,
laboratories were bringing in PBF revenues, instilling a
culture of continuous quality improvements, and focusing
management attention on accreditation. PBF appears to have
contributed to an accelerated change, with PBF laboratories
experiencing an overall greater increase in SLIPTA scores
compared to project-supported laboratories in the other
countries. No clear patterns were found in terms of improved
test volumes or test accuracy, which were not part of the
pilot scheme. While it was difficult to disentangle the
effects of different interventions, the evaluation found a
system-strengthening value to combining investments in
modernizing laboratories, and strengthening human resources
with PBF. Relationships between laboratory staff and
clinicians improved, with laboratory managers having a
greater voice in hospital management and lab staff
increasingly valued and respected by clinicians. A spirit of
teamwork prevailed at participating sites. Other countries
considering PBF mechanisms for public health laboratories
need to take into account lessons learned and assess the
features which may be relevant to their own contexts. PBF
schemes for laboratories need to be viewed as an integral
part of a package of interventions that contribute to
enhanced performance.</description><subject>AGE</subject><subject>BEST PRACTICES</subject><subject>CAPABILITIES</subject><subject>CAPACITY BUILDING</subject><subject>CELLS</subject><subject>CERTIFICATES</subject><subject>CHILD HEALTH SERVICES</subject><subject>CITIZENS</subject><subject>COMMUNICATION</subject><subject>COMMUNICATION TECHNOLOGIES</subject><subject>COMMUNICATIONS TECHNOLOGY</subject><subject>COMMUNITY HEALTH</subject><subject>CONFIDENTIALITY</subject><subject>CONSULTANT</subject><subject>CREATIVE SOLUTIONS</subject><subject>CUSTOMER</subject><subject>CUSTOMER SERVICE</subject><subject>DATA</subject><subject>DATA ANALYSIS</subject><subject>DATA COLLECTION</subject><subject>DOCUMENTS</subject><subject>EFFECTS</subject><subject>ENABLING ENVIRONMENT</subject><subject>EVALUATION</subject><subject>EXERCISES</subject><subject>EXPERIMENTAL DESIGN</subject><subject>FIELD WORK</subject><subject>FINANCIAL CONSTRAINTS</subject><subject>FINANCIAL SUPPORT</subject><subject>FUND MANAGEMENT</subject><subject>GRANTS</subject><subject>HARDWARE</subject><subject>HEALTH</subject><subject>HEALTH AUTHORITIES</subject><subject>HEALTH CARE</subject><subject>HEALTH OUTCOMES</subject><subject>HEALTH POLICY</subject><subject>HEALTH SERVICES</subject><subject>HOSPITALIZATION</subject><subject>HOSPITALS</subject><subject>HUMAN RESOURCES</subject><subject>ICT</subject><subject>IMMUNE SYSTEM</subject><subject>IMPLEMENTATION</subject><subject>IMPROVEMENT</subject><subject>INDICATORS</subject><subject>INFORMANTS</subject><subject>INFORMATION</subject><subject>INFRASTRUCTURE</subject><subject>INNOVATION</subject><subject>INNOVATIONS</subject><subject>INSTITUTIONAL FRAMEWORK</subject><subject>INSTITUTIONALIZATION</subject><subject>INSTITUTIONS</subject><subject>INTERNET</subject><subject>INTERVENTION</subject><subject>INTERVIEW</subject><subject>INTERVIEWS</subject><subject>INVENTORY</subject><subject>ISOLATION</subject><subject>KNOWLEDGE</subject><subject>KNOWLEDGE SHARING</subject><subject>LAB</subject><subject>LABORATORIES</subject><subject>LABORATORY</subject><subject>LABORATORY ACCREDITATION</subject><subject>LABORATORY EQUIPMENT</subject><subject>LABORATORY INFRASTRUCTURE</subject><subject>LABORATORY TECHNICIANS</subject><subject>LABS</subject><subject>MANAGEMENT SYSTEM</subject><subject>MANAGEMENT SYSTEMS</subject><subject>MATERIAL</subject><subject>MEASUREMENT</subject><subject>MEASURES</subject><subject>METHODOLOGY</subject><subject>METHODS</subject><subject>MISSING DATA</subject><subject>MONITORING</subject><subject>MORBIDITY</subject><subject>MORTALITY</subject><subject>NETWORK</subject><subject>NURSES</subject><subject>NUTRITION</subject><subject>PATIENT</subject><subject>PATIENT SATISFACTION</subject><subject>PATIENTS</subject><subject>PAYOUT</subject><subject>PERFORMANCE INDICATOR</subject><subject>PERFORMANCE INDICATORS</subject><subject>PHYSICIANS</subject><subject>PILOT PROJECT</subject><subject>PLANNING</subject><subject>PREVENTION</subject><subject>PRIMARY HEALTH CARE</subject><subject>PROCUREMENT</subject><subject>PROTOCOL</subject><subject>PUBLIC HEALTH</subject><subject>QUALITATIVE DATA</subject><subject>QUALITY MANAGEMENT</subject><subject>QUALITY OF SERVICE</subject><subject>QUANTITATIVE DATA</subject><subject>QUANTITATIVE RESEARCH</subject><subject>RAW DATA</subject><subject>REGRESSION ANALYSIS</subject><subject>RESEARCH DESIGN</subject><subject>RESEARCH FINDINGS</subject><subject>RESEARCH METHODS</subject><subject>RESULT</subject><subject>RESULTS</subject><subject>RIGHTS</subject><subject>RISKS</subject><subject>SAFETY OFFICER</subject><subject>SAMPLES</subject><subject>SAMPLING</subject><subject>SATELLITE</subject><subject>SCENARIOS</subject><subject>SCIENCES</subject><subject>SERVICE PROVIDERS</subject><subject>SITES</subject><subject>SIZE</subject><subject>SPECIMENS</subject><subject>STANDARDIZATION</subject><subject>STATISTICAL ANALYSIS</subject><subject>STRATEGY</subject><subject>STRESS</subject><subject>SUPERVISION</subject><subject>SURVEILLANCE</subject><subject>SURVEYS</subject><subject>TARGETS</subject><subject>TECHNICAL STAFF</subject><subject>TECHNOLOGIES</subject><subject>TECHNOLOGY</subject><subject>TESTING</subject><subject>TESTING SERVICES</subject><subject>TESTS</subject><subject>THEORY</subject><subject>TIME</subject><subject>TRANSACTION</subject><subject>TRAVEL</subject><subject>TRIGGER</subject><subject>TURNAROUND TIMES</subject><subject>USES</subject><subject>VALIDITY</subject><subject>VERIFICATION</subject><subject>WASTE</subject><subject>WEB</subject><subject>WEB PORTAL</subject><subject>WEIGHT</subject><subject>WORK ENVIRONMENT</subject><subject>WORKERS</subject><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>VO9</sourceid><recordid>eNrjZDB3TSwuUXBMK8pMTlQIKE3KyUxW8EhNzCnJUPBJTMovSizJL6pU8EstKc8vys7MS1cIKMrPSk0u4WFgTUvMKU7lhdLcDCZuriHOHrpAdTkpSYl52fH5Bal52Xn55TmpKempRakF-cWZIMPiDQ0sLczijUxMDAyMydQGAH66Plw</recordid><startdate>201604</startdate><enddate>201604</enddate><creator>Kumar, Meghan</creator><creator>Lehmann, Joel</creator><creator>Rucogoza, Aniceth</creator><creator>Kayobotsi, Claver</creator><creator>Das, Ashis</creator><creator>Schneidman, Miriam</creator><general>World Bank, Washington, DC</general><scope>VO9</scope></search><sort><creationdate>201604</creationdate><title>East Africa Public Health Laboratory Networking Project</title><author>Kumar, Meghan ; Lehmann, Joel ; Rucogoza, Aniceth ; Kayobotsi, Claver ; Das, Ashis ; Schneidman, Miriam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-worldbank_openknowledgerepository_10986_244003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>AGE</topic><topic>BEST PRACTICES</topic><topic>CAPABILITIES</topic><topic>CAPACITY BUILDING</topic><topic>CELLS</topic><topic>CERTIFICATES</topic><topic>CHILD HEALTH SERVICES</topic><topic>CITIZENS</topic><topic>COMMUNICATION</topic><topic>COMMUNICATION TECHNOLOGIES</topic><topic>COMMUNICATIONS TECHNOLOGY</topic><topic>COMMUNITY HEALTH</topic><topic>CONFIDENTIALITY</topic><topic>CONSULTANT</topic><topic>CREATIVE SOLUTIONS</topic><topic>CUSTOMER</topic><topic>CUSTOMER SERVICE</topic><topic>DATA</topic><topic>DATA ANALYSIS</topic><topic>DATA COLLECTION</topic><topic>DOCUMENTS</topic><topic>EFFECTS</topic><topic>ENABLING ENVIRONMENT</topic><topic>EVALUATION</topic><topic>EXERCISES</topic><topic>EXPERIMENTAL DESIGN</topic><topic>FIELD WORK</topic><topic>FINANCIAL CONSTRAINTS</topic><topic>FINANCIAL SUPPORT</topic><topic>FUND MANAGEMENT</topic><topic>GRANTS</topic><topic>HARDWARE</topic><topic>HEALTH</topic><topic>HEALTH AUTHORITIES</topic><topic>HEALTH CARE</topic><topic>HEALTH OUTCOMES</topic><topic>HEALTH POLICY</topic><topic>HEALTH SERVICES</topic><topic>HOSPITALIZATION</topic><topic>HOSPITALS</topic><topic>HUMAN RESOURCES</topic><topic>ICT</topic><topic>IMMUNE SYSTEM</topic><topic>IMPLEMENTATION</topic><topic>IMPROVEMENT</topic><topic>INDICATORS</topic><topic>INFORMANTS</topic><topic>INFORMATION</topic><topic>INFRASTRUCTURE</topic><topic>INNOVATION</topic><topic>INNOVATIONS</topic><topic>INSTITUTIONAL FRAMEWORK</topic><topic>INSTITUTIONALIZATION</topic><topic>INSTITUTIONS</topic><topic>INTERNET</topic><topic>INTERVENTION</topic><topic>INTERVIEW</topic><topic>INTERVIEWS</topic><topic>INVENTORY</topic><topic>ISOLATION</topic><topic>KNOWLEDGE</topic><topic>KNOWLEDGE SHARING</topic><topic>LAB</topic><topic>LABORATORIES</topic><topic>LABORATORY</topic><topic>LABORATORY ACCREDITATION</topic><topic>LABORATORY EQUIPMENT</topic><topic>LABORATORY INFRASTRUCTURE</topic><topic>LABORATORY TECHNICIANS</topic><topic>LABS</topic><topic>MANAGEMENT SYSTEM</topic><topic>MANAGEMENT SYSTEMS</topic><topic>MATERIAL</topic><topic>MEASUREMENT</topic><topic>MEASURES</topic><topic>METHODOLOGY</topic><topic>METHODS</topic><topic>MISSING DATA</topic><topic>MONITORING</topic><topic>MORBIDITY</topic><topic>MORTALITY</topic><topic>NETWORK</topic><topic>NURSES</topic><topic>NUTRITION</topic><topic>PATIENT</topic><topic>PATIENT SATISFACTION</topic><topic>PATIENTS</topic><topic>PAYOUT</topic><topic>PERFORMANCE INDICATOR</topic><topic>PERFORMANCE INDICATORS</topic><topic>PHYSICIANS</topic><topic>PILOT PROJECT</topic><topic>PLANNING</topic><topic>PREVENTION</topic><topic>PRIMARY HEALTH CARE</topic><topic>PROCUREMENT</topic><topic>PROTOCOL</topic><topic>PUBLIC HEALTH</topic><topic>QUALITATIVE DATA</topic><topic>QUALITY MANAGEMENT</topic><topic>QUALITY OF SERVICE</topic><topic>QUANTITATIVE DATA</topic><topic>QUANTITATIVE RESEARCH</topic><topic>RAW DATA</topic><topic>REGRESSION ANALYSIS</topic><topic>RESEARCH DESIGN</topic><topic>RESEARCH FINDINGS</topic><topic>RESEARCH METHODS</topic><topic>RESULT</topic><topic>RESULTS</topic><topic>RIGHTS</topic><topic>RISKS</topic><topic>SAFETY OFFICER</topic><topic>SAMPLES</topic><topic>SAMPLING</topic><topic>SATELLITE</topic><topic>SCENARIOS</topic><topic>SCIENCES</topic><topic>SERVICE PROVIDERS</topic><topic>SITES</topic><topic>SIZE</topic><topic>SPECIMENS</topic><topic>STANDARDIZATION</topic><topic>STATISTICAL ANALYSIS</topic><topic>STRATEGY</topic><topic>STRESS</topic><topic>SUPERVISION</topic><topic>SURVEILLANCE</topic><topic>SURVEYS</topic><topic>TARGETS</topic><topic>TECHNICAL STAFF</topic><topic>TECHNOLOGIES</topic><topic>TECHNOLOGY</topic><topic>TESTING</topic><topic>TESTING SERVICES</topic><topic>TESTS</topic><topic>THEORY</topic><topic>TIME</topic><topic>TRANSACTION</topic><topic>TRAVEL</topic><topic>TRIGGER</topic><topic>TURNAROUND TIMES</topic><topic>USES</topic><topic>VALIDITY</topic><topic>VERIFICATION</topic><topic>WASTE</topic><topic>WEB</topic><topic>WEB PORTAL</topic><topic>WEIGHT</topic><topic>WORK ENVIRONMENT</topic><topic>WORKERS</topic><toplevel>online_resources</toplevel><creatorcontrib>Kumar, Meghan</creatorcontrib><creatorcontrib>Lehmann, Joel</creatorcontrib><creatorcontrib>Rucogoza, Aniceth</creatorcontrib><creatorcontrib>Kayobotsi, Claver</creatorcontrib><creatorcontrib>Das, Ashis</creatorcontrib><creatorcontrib>Schneidman, Miriam</creatorcontrib><collection>Open Knowledge Repository</collection></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Kumar, Meghan</au><au>Lehmann, Joel</au><au>Rucogoza, Aniceth</au><au>Kayobotsi, Claver</au><au>Das, Ashis</au><au>Schneidman, Miriam</au><format>book</format><genre>document</genre><ristype>GEN</ristype><atitle>East Africa Public Health Laboratory Networking Project</atitle><date>2016-04</date><risdate>2016</risdate><abstract>This report summarizes the main findings
from the application of performance based incentives linked
to progress on a standardized, globally recognized metric -
the stepwise laboratory improvement process towards
accreditation (SLIPTA) checklist - under the East Africa
Public Health Laboratory Networking Project (EAPHLNP) in
Rwanda. The lab performance-based financing (PBF) pilot was
introduced in the context of a well-established national PBF
program dating back to the early 2000s. The flexible nature
of the EAPHLNP and the favorable context in Rwanda provided
an ideal backdrop to introduce PBF incentive payments to
accelerate progress of five project supported labs towards
accreditation. The evaluation found improved laboratory
performance at all project-supported laboratories in Rwanda
as measured by the SLIPTA scores. For the first time,
laboratories were bringing in PBF revenues, instilling a
culture of continuous quality improvements, and focusing
management attention on accreditation. PBF appears to have
contributed to an accelerated change, with PBF laboratories
experiencing an overall greater increase in SLIPTA scores
compared to project-supported laboratories in the other
countries. No clear patterns were found in terms of improved
test volumes or test accuracy, which were not part of the
pilot scheme. While it was difficult to disentangle the
effects of different interventions, the evaluation found a
system-strengthening value to combining investments in
modernizing laboratories, and strengthening human resources
with PBF. Relationships between laboratory staff and
clinicians improved, with laboratory managers having a
greater voice in hospital management and lab staff
increasingly valued and respected by clinicians. A spirit of
teamwork prevailed at participating sites. Other countries
considering PBF mechanisms for public health laboratories
need to take into account lessons learned and assess the
features which may be relevant to their own contexts. PBF
schemes for laboratories need to be viewed as an integral
part of a package of interventions that contribute to
enhanced performance.</abstract><pub>World Bank, Washington, DC</pub><oa>free_for_read</oa></addata></record> |
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| subjects | AGE BEST PRACTICES CAPABILITIES CAPACITY BUILDING CELLS CERTIFICATES CHILD HEALTH SERVICES CITIZENS COMMUNICATION COMMUNICATION TECHNOLOGIES COMMUNICATIONS TECHNOLOGY COMMUNITY HEALTH CONFIDENTIALITY CONSULTANT CREATIVE SOLUTIONS CUSTOMER CUSTOMER SERVICE DATA DATA ANALYSIS DATA COLLECTION DOCUMENTS EFFECTS ENABLING ENVIRONMENT EVALUATION EXERCISES EXPERIMENTAL DESIGN FIELD WORK FINANCIAL CONSTRAINTS FINANCIAL SUPPORT FUND MANAGEMENT GRANTS HARDWARE HEALTH HEALTH AUTHORITIES HEALTH CARE HEALTH OUTCOMES HEALTH POLICY HEALTH SERVICES HOSPITALIZATION HOSPITALS HUMAN RESOURCES ICT IMMUNE SYSTEM IMPLEMENTATION IMPROVEMENT INDICATORS INFORMANTS INFORMATION INFRASTRUCTURE INNOVATION INNOVATIONS INSTITUTIONAL FRAMEWORK INSTITUTIONALIZATION INSTITUTIONS INTERNET INTERVENTION INTERVIEW INTERVIEWS INVENTORY ISOLATION KNOWLEDGE KNOWLEDGE SHARING LAB LABORATORIES LABORATORY LABORATORY ACCREDITATION LABORATORY EQUIPMENT LABORATORY INFRASTRUCTURE LABORATORY TECHNICIANS LABS MANAGEMENT SYSTEM MANAGEMENT SYSTEMS MATERIAL MEASUREMENT MEASURES METHODOLOGY METHODS MISSING DATA MONITORING MORBIDITY MORTALITY NETWORK NURSES NUTRITION PATIENT PATIENT SATISFACTION PATIENTS PAYOUT PERFORMANCE INDICATOR PERFORMANCE INDICATORS PHYSICIANS PILOT PROJECT PLANNING PREVENTION PRIMARY HEALTH CARE PROCUREMENT PROTOCOL PUBLIC HEALTH QUALITATIVE DATA QUALITY MANAGEMENT QUALITY OF SERVICE QUANTITATIVE DATA QUANTITATIVE RESEARCH RAW DATA REGRESSION ANALYSIS RESEARCH DESIGN RESEARCH FINDINGS RESEARCH METHODS RESULT RESULTS RIGHTS RISKS SAFETY OFFICER SAMPLES SAMPLING SATELLITE SCENARIOS SCIENCES SERVICE PROVIDERS SITES SIZE SPECIMENS STANDARDIZATION STATISTICAL ANALYSIS STRATEGY STRESS SUPERVISION SURVEILLANCE SURVEYS TARGETS TECHNICAL STAFF TECHNOLOGIES TECHNOLOGY TESTING TESTING SERVICES TESTS THEORY TIME TRANSACTION TRAVEL TRIGGER TURNAROUND TIMES USES VALIDITY VERIFICATION WASTE WEB WEB PORTAL WEIGHT WORK ENVIRONMENT WORKERS |
| title | East Africa Public Health Laboratory Networking Project |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-21T11%3A14%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-worldbank_VO9&rft_val_fmt=info:ofi/fmt:kev:mtx:book&rft.genre=document&rft.atitle=East%20Africa%20Public%20Health%20Laboratory%20Networking%20Project&rft.au=Kumar,%20Meghan&rft.date=2016-04&rft_id=info:doi/&rft_dat=%3Cworldbank_VO9%3Eoai:openknowledge.worldbank.org:10986/24400%3C/worldbank_VO9%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rfr_iscdi=true |