Effects of Performance Incentives for Community Health Worker Cooperatives in Rwanda

• Tác giả: Ina Kalisa
• Ngôn ngữ: eng
• Ký hiệu phân loại: 336.67 Public finance
• Thông tin xuất bản: World Bank, Washington, DC, 2017
• Bộ sưu tập: Tài liệu truy cập mở
• ID: 297226
• Chủ đề: 1. CHILD HEALTH; 2. HEALTH COOPERATIVES; 3. HEALTH WORKERS; 4. MATERNAL HEALTH; 5. PERFORMANCE INCENTIVES

Tóm tắt

This paper presents the results of a randomized controlled trial set to evaluate the effects of a pay-for-performance scheme that rewarded community health worker cooperatives for the utilization of five targeted maternal and child health services by their communities. The experiment took place in 19 districts in Rwanda between 2010 and 2014. The analysis finds no impact of the performance payments on coverage of the targeted services, attitudes and behaviors of community health workers, or outcomes at the cooperative level. No synergies are found between the scheme and a demand-side, in-kind transfer intervention that was independently effective in increasing coverage rates of targeted services.