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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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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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Community Performance-Based Financing User Guide (English)

Performance-Based Financing is thoroughly embedded in the Rwandan Health System. It is practiced in health centers and district hospitals nationwide using common approaches. Ministry of Health Performance-Based Financing has started at the central ministerial level. Performance-Based Financing systems are being designed for the national Community Based Health Insurance system, and for the CDLS. A national […]
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A Taxonomy and Results from a Comprehensive Review of 28 Maternal Health Voucher Programs

The findings in this paper are intended to guide governments interested in maternal health voucher programs with recommendations for sustainable implementation and impact. The Evidence Summit undertook a systematic review of five financing strategies. This paper presents the methods and findings for vouchers, building on a taxonomy to catalogue knowledge about voucher program design and […]
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Performance Incentives for Global Health: Potential and Pitfalls

Understanding the promise and pitfalls of performance incentives fits squarely into the Center for Global Development’s broader contributions to improvements in the effectiveness of development assistance. By bringing innovations to light, and providing policy guidance based on real-world experience, Eichler, Levine, and the contributors to this book highlight an alternative way for donors to support […]
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Learning Lessons on Implementing Performance-Based Financing, from a Multi-Country Evaluation

This synthesis report explores the lessons learned on design, implementation and effects of financial incentives in the form of Performance Based Financing (PBF) in the health sector, as supported in Sub–Saharan Africa by the two Dutch NGO’s Cordaid and HealthNet TPO. Towards this aim a multi-country study was undertaken in 2008, led by the Royal […]
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