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Effects of performance incentives for community health worker cooperatives in Rwanda

Author

Listed:
  • Shapira,Gil
  • Kalisa,Ina
  • Condo,Jeanine
  • Humuza,James
  • Mugeni,Cathy
  • Nkunda,Denis
  • Walldorf,Jeanette

Abstract

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.

Suggested Citation

  • Shapira,Gil & Kalisa,Ina & Condo,Jeanine & Humuza,James & Mugeni,Cathy & Nkunda,Denis & Walldorf,Jeanette, 2017. "Effects of performance incentives for community health worker cooperatives in Rwanda," Policy Research Working Paper Series 8059, The World Bank.
    • Handle: RePEc:wbk:wbrwps:8059
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    Cited by:

    1. Singh, Neha S. & Kovacs, Roxanne J. & Cassidy, Rachel & Kristensen, Søren R. & Borghi, Josephine & Brown, Garrett W., 2021. "A realist review to assess for whom, under what conditions and how pay for performance programmes work in low- and middle-income countries," Social Science & Medicine, Elsevier, vol. 270(C).

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