As part of our mandate to gather and disseminate evidence and knowledge from global RBF experiences, RBF Health regularly organizes events, including seminars and capacity building workshops.
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Using MamaNatalie and NeoNatalie Anatomical models to improve quality through RBF: The Kyrgyz Experience


The Kyrgyz Health Results-Based Financing Project (2014-2019) piloted the use of Performance-Based Financing (PBF) and enhanced supervision (ES) to improve the quality of care of labor and delivery services in secondary hospitals. This project is unique in the HRITF portfolio in that it pays only for quality of care. In both treatment arms, quality is assessed quarterly using a balance score card. Since knowledge and competence are key components of the Kyrgyz pilot, the program included simulation-based training centered around MamaNatalie and NeoNatalie anatomical models to bridge the gap that exists in the Kyrgyz Republic between theoretical knowledge and real-life clinical experiences/exposure.

MamaNatalie and NeoNatalie are anatomical models that support simulation-based training by realistically replicating birthing scenarios, including rare complications such as post-partum hemorrhage and neonatal resuscitation. While these models have been used for evaluations, the Kyrgyz pilot was one of the first to use them for repeated programmatic measurement and payments. In this BBL, Dr. Arsen Askerov, who led the development and use of MamaNatalie and NeoNatalie in the Kyrgyz pilot, will discuss the Kyrgyz experience, including challenges and adaptations over time, in using the models. The presentation by Dr Arsen Askerov will be in Russian, with English interpretation and a discussion to follow. 


Meeting password: ZhhXPWU7
Meeting number: 734 904 222

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Dr. Arsen Askerov, President of Kyrgyz Association of Obstetricians, Gynecologists and Neonatologists

Dr. Arsen Askerov is a Kyrgyz medical doctor with 20 years of experience in obstetrics and gynecology, including 6 years as Head of Faculty/Department of Obstetrics and Gynecology at the Kyrgyz Medical Academy. He worked closely with WHO, UNFPA and UNICEF on Confidential Enquiry of Maternal Deaths, Near-miss cases and Beyond the Numbers Reports. He was also the technical lead on the Kyrgyz Results-Based Financing Project supported by the World Bank that developed and adopted results-based financing at hospital and primary health care levels in the Kyrgyz Republic.

Petra Vergeer, Senior Health Specialist, World Bank

Petra provides technical support to countries on design and implementation, including on results-based financing and leads the capacity building and knowledge and learning portfolio. Petra has more than 20 years’ experience working in public health and health system strengthening programs in developing countries, including fragile states. She has master’s degrees in international relations from the University of New South Wales, Australia, in public administration from the University of Leiden in the Netherlands, and in tropical medicine and public health from the University of Applied Sciences Leiden–Hogeschool Leiden. She also holds a bachelor’s degree in nursing

Gyorgy Bela Fritsche, Senior Health Specialist, World Bank

Trained in the Netherlands and the UK, Gyuri’s work as bush doctor and health planner takes place mostly in challenging environments (DRC and Nigeria). Gyuri is also involved in more differentiated health systems such as in Kyrgyzstan and Cambodia. Applying scalable systemic solutions to sustainably strengthen health systems is his passion. Gyuri’s comparative advantage is in Performance-based financing design and implementation, and testing and scaling innovative quality enhancement methods.

Aneesa Arur, Senior Economist, World Bank

Aneesa Arur is Senior Econimist at the World Bank’s Health Nutrition and Population Global Practice. She has led and managed World Bank-financed projects in over 17 countries and is involved in research and technical assistance at the country and regional level on primary health care service delivery in fragile settings, social health insurance, results-based financing, integration of care, and contracting for health services. Before joining the World Bank Group, Aneesa worked at Abt Associates Inc., a consulting firm with an international health practice. Aneesa holds a PhD in Health Systems from the Johns Hopkins Bloomberg School of Public Health, and a master’s in development studies from the London School of Economics and Political Science.