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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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Compensation models for community health workers: Comparison of legal frameworks across five countries

The five countries profiled represent possible archetypes for CHW compensation: Brazil (public), Ghana (volunteer-based), Nigeria (private), Rwanda (cooperatives with performance based incentives) and South Africa (hybrid public/private). Advantages and disadvantages of each model with respect to (i) CHWs, in terms of financial protection, and (ii) the health system, in terms of ease of implementation, are […]
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Community health volunteers could help improve access to and use of essential health services by communities in LMICs: an umbrella review

A number of primary studies and systematic reviews focused on the contribution of community health workers (CHWs) in the delivery of essential health services. In many countries, a cadre of informal health workers also provide services on a volunteer basis [community health volunteers (CHV)], but there has been no synthesis of studies investigating their role […]
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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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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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