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Using performance incentives to improve health outcomes, Volume 1
 
Author:Gertler, Paul; Vermeersch, Christel; Country:World;
Date Stored:2012/06/20Document Date:2012/06/01
Document Type:Policy Research Working PaperSubTopics:Health Monitoring & Evaluation; Health Systems Development & Reform; Disease Control & Prevention; Population Policies; Adolescent Health
Language:EnglishRegion:The World Region
Report Number:WPS6100Collection Title:Policy Research working paper ; no. WPS 6100Impact Evaluation series ; no. IE 60
Volume No:1  

Summary: This study examines the effect of performance incentives for health care providers to provide more and higher quality care in Rwanda on child health outcomes. The authors find that the incentives had a large and significant effect on the weight-for-age of children 0-11 months and on the height-for-age of children 24-49 months. They attribute this improvement to increases in the use and quality of prenatal and postnatal care. Consistent with theory, They find larger effects of incentives on services where monetary rewards and the marginal return to effort are higher. The also find that incentives reduced the gap between provider knowledge and practice of appropriate clinical procedures by 20 percent, implying a large gain in efficiency. Finally, they find evidence of a strong complementarity between performance incentives and provider skill.

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