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Effectiveness of Community Health Workers

Evidence supports Community Health Workers (CHWs) effectiveness in delivering a range of preventive, promotional and curative health services; reducing inequities in access to care; and supporting the empowerment of communities to demand social accountability from their governments and others to provide coverage of quality primary healthcare services. CHWs have the potential to contribute to the […]
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Community Health Worker Incentives and Disincentives: How They Affect Motivation, Retention, and Sustainability

This paper examines the experience with using various incentives to motivate and retain community health workers (CHWs) serving primarily as volunteers in child health and nutrition programs in developing countries. It makes recommendations for more systematic use of multiple incentives based on an understanding of the functions of different kinds of incentives and emphasizes the […]
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What do we know about community-based health worker programs? A systematic review of existing reviews on community health workers

We identified 122 reviews (75 systematic reviews, of which 34 are meta-analyses, and 47 non-systematic reviews). Eighty-three of the included reviews were from low- and middle-income countries, 29 were from high-income countries, and 10 were global. CHW programs included in these reviews are diverse in interventions provided, selection and training of CHWs, supervision, remuneration, and […]
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Measuring quality of health care using video vignettes

By Sheheryar Banuri, Lecturer, University of East Anglia; Damien de Walque, Senior Economist, The World Bank; Philip Keefer, Principal Economic Advisor, Inter-American Development Bank; Haidara Ousmane Diadie, Senior Health Specialist, The World Bank; Paul Jacob Robyn, Senior Health Specialist, The World Bank; Maurice Ye, MD, MPH, Centre de Recherche en Santé de Nouna, Burkina Faso […]
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Video Vignettes: Lab-in-the-Field Experiment in Burkina Faso

The video vignettes were applied within the context of a “lab-in-the-field experiment” in Burkina Faso that tests effects of various incentive measures on provider performance within the context of a “laboratory” setting. We designed video vignettes representing cases related to maternal and early childhood care. The cases followed symptom description and treatment protocols as defined […]
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Kyrgyz Republic: Performance Based Payments for Maternal and Neonatal Health Quantitative Baseline Survey Report

This report presents results from a health facility survey conducted to support and generate evidence for the impact evaluation of the Kyrgyz Performance-Based Payments project. Global evidence suggests that improving the quality of obstetric care can directly reduce maternal and neonatal deaths. Most maternal deaths are caused by obstetric complications, including postpartum hemorrhage (PPH), obstructed […]
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Impact Evaluation of the Kyrgyz Republic Quality of Care PBF Pilot Program: Overview and Summary Findings

This PowerPoint highlights some of the results from the recently completed randomized impact evaluation of the Performance-Based Financing (PBF) pilot implemented at maternity hospitals in the Kyrgyz Republic. This PBF program is unique in that it only incentivizes the quality, and not the quantity, of maternal and neonatal health services. The evaluation contrasts PBF against […]
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