Effects of Performance Incentives for Community Health Worker Cooperatives in Rwanda

Shapira, Gil ; Kalisa, Ina ; Condo, Jeanine ; Humuza, James ; Mugeni, Cathy ; Nkunda, Denis ; Walldorf, Jeanette

World Bank, Washington, DC

关键词: PERFORMANCE INCENTIVES;    HEALTH COOPERATIVES;    HEALTH WORKERS;    MATERNAL HEALTH;    CHILD HEALTH;   

DOI  :  10.1596/1813-9450-8059
RP-ID  :  WPS8059

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

This paper presents the results of arandomized controlled trial set to evaluate the effects of apay-for-performance scheme that rewarded community healthworker cooperatives for the utilization of five targetedmaternal and child health services by their communities. Theexperiment took place in 19 districts in Rwanda between 2010and 2014. The analysis finds no impact of the performancepayments on coverage of the targeted services, attitudes andbehaviors of community health workers, or outcomes at thecooperative level. No synergies are found between the schemeand a demand-side, in-kind transfer intervention that wasindependently effective in increasing coverage rates oftargeted services.