Ensuring that women and children receivequality health care is a key to alleviating poverty, but inmany developing countries, access to appropriate medicalcare is limited. In recent years, policymakers and healthexperts have promoted the use of performance-based bonusesto motivate health-care workers to follow best practices andensure that patients receive key medical services. As partof this, the international research community is working tomeasure when and how such pay-for-performance programs aremost effective. To help build a body of evidence on how toencourage and support quality healthcare, the World Banksupported a study of government-run and faith-based healthclinics in Rwanda. The 23-month evaluation, the firstrigorous one of its kind in a low-income country, found thatperformance-based bonuses helped raise the quality and useof health services for women and children. This Evidence toPolicy note was jointly produced by the World Bank Group,the Strategic Impact Evaluation Fund (SIEF), and the Britishgovernments Department for International Development.
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