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Effects of Performance Incentives for Community Health Worker Cooperatives in Rwanda / Gil Shapira.

World Bank Open Knowledge Repository (formerly "World Bank E-Library Publications") Available online

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Format:
Book
Government document
Author/Creator:
Shapira, Gil.
Contributor:
Condo, Jeanine.
Humuza, James.
Kalisa, Ina.
Mugeni, Cathy.
Nkunda, Denis.
Shapira, Gil.
Walldorf, Jeanette.
Series:
Policy research working papers.
World Bank e-Library.
Language:
English
Subjects (All):
Child Health.
Health Cooperatives.
Health Workers.
Maternal Health.
Performance Incentives.
Local Subjects:
Child Health.
Health Cooperatives.
Health Workers.
Maternal Health.
Performance Incentives.
Physical Description:
1 online resource (34 pages)
Place of Publication:
Washington, D.C. : The World Bank, 2017.
System Details:
data file
Summary:
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.

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