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Pay-for-Performance Contracts in the Lab and the Real World: Evidence from Nigeria

Author

Listed:
  • Sebastian Bauhoff

    (Department of Global Health and Population, Harvard T.H. Chan School of Public Health)

  • Eeshani Kandpal

    (Center for Global Development)

Abstract

A two-stage experiment disentangles the effect of various aspects of pay-for-performance contracts. The first is a lab-in-the-field experiment where 1,359 health workers are primed with a checklist of salient clinical tasks, then randomized within 690 clinics to receive no incentives, rewards, or penalties for treating hypothetical patients. Both rewards and penalties improve performance by 20 percent and generate spillovers on unincentivized tasks, but small incentives capture most gains. In the second stage, lab impacts translate into the real world: lab PFP exposure improves by 20 percent the care provided to real-world patients even after the lab experiment.

Suggested Citation

  • Sebastian Bauhoff & Eeshani Kandpal, 2024. "Pay-for-Performance Contracts in the Lab and the Real World: Evidence from Nigeria," Working Papers 677, Center for Global Development.
  • Handle: RePEc:cgd:wpaper:677
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    More about this item

    Keywords

    Pay-for-performance; Health workers; Lab-in-the-field experiment;
    All these keywords.

    JEL classification:

    • C93 - Mathematical and Quantitative Methods - - Design of Experiments - - - Field Experiments
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J41 - Labor and Demographic Economics - - Particular Labor Markets - - - Labor Contracts
    • J45 - Labor and Demographic Economics - - Particular Labor Markets - - - Public Sector Labor Markets
    • M52 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Personnel Economics - - - Compensation and Compensation Methods and Their Effects
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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