Effects of performance incentives for community health worker cooperatives in Rwanda

Gil Shapira (), Ina Kalisa, Jeanine Condo, James Humuza, Cathy Mugeni, Denis Nkunda and Jeanette Walldorf

No 8059, Policy Research Working Paper Series from The World Bank

Abstract: 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.

Keywords: Health Economics&Finance; Reproductive Health; Early Child and Children'; Early Child and Children's Health (search for similar items in EconPapers)
Date: 2017-05-16
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Citations: View citations in EconPapers (1)

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