SUMMARY
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.
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