HRH Global Resource Center - Financial Incentives

Motivation and Satisfaction Among Community Health Workers in Morogoro Region, Tanzania: Nuanced Needs and Varied Ambitions

Tue, 16 Jun 2015 17:45:37 +0000

In 2012, the Ministry of Health and Social Welfare (MOHSW), Tanzania, approved national guidelines and training materials for community health workers (CHWs) in integrated maternal, newborn and child health (Integrated MNCH), with CHWs trained and deployed across five districts of Morogoro Region soon after. To inform future scale up, this study assessed motivation and satisfaction among these CHWs. [from abstract]

Wage-Setting in the Hospital Sector

Fri, 16 Jan 2015 19:29:12 +0000

This paper examines wage setting mechanisms for health workers in hospitals across eight different OECD countries. It describes similarities and differences and how fixed or fluid these approaches have been in recent years through health system reforms, labour market dynamics and economic pressures. [from abstract]

An Investigation of Staff Turnover at a Private Healthcare Provider in the Kavango Region, Namibia

Wed, 10 Sep 2014 12:42:38 +0000

The study sought to investigate the factors contributing to the high turnover of clinical staff at two Catholic Health Services (CHS) hospitals of Andara and Nyangana in the Kavango region of Namibia. The conceptual framework, factors related to the decision to stay in or leave rural and remote areas, was adapted from Henderson and Tulloch (2008) and guided this study. [from abstract]

Context Analysis: Close-to-Community Providers in Mozambique

Mon, 21 Jul 2014 13:10:55 +0000

This report combines findings from a desk review,a mapping of [Close-to-Community] CTC providers and data collected during qualitative explorations carried out in two selected districts of Maputo Province as part of the context analysis. [from introduction]

Should I stay or should I go? The Impact of Working Time and Wages on Retention in the Health Workforce

Fri, 09 May 2014 19:58:36 +0000

Inspired by the observation that providing care is based on the duration of practices, tasks and processes (issues of time) rather than exchange values (wages), this paper focuses on the influence of working-time characteristics and wages on an employee’s intention to stay. [from abstract]

Pay-for-Performance, Motivation and Final Output in the Health Sector: Experimental Evidence from the Democratic Republic of Congo

Tue, 06 May 2014 12:39:05 +0000

The pap er studies the effects of a financing mechanism for the health sector in which governmental payment to health facilities is contingent up on the number of patients for some predetermined health services, as opposed to a fixed payment. [from abstract]

Using Incentives to Attract Nurses to Remote Areas of Tanzania: A Contingent Valuation Study

Thu, 24 Apr 2014 14:33:05 +0000

This article analyses (1) how financial incentives (salary top-ups) and non-financial incentives (housing and education) affect nurses’ willingness to work in remote areas of Tanzania and (2) how the magnitude of the incentives needed to attract health workers varies with the nurses’ geographic origin and their intrinsic motivation. [from abstract]

Rural Allied Health Scholarships: Do They Make a Difference?

Wed, 23 Apr 2014 18:18:31 +0000

Specifically this study aimed to examine the profile of the QHRSS-AH recipients from 2000 to 2010 including graduate recruitment outcomes and retention within the scholarship program. It also explored the influence of the QHRSS-AH on early career practice location decisions and the features of the scheme that influenced motivation to be involved as either a scholarship holder or manager, perceived barriers to employment of scholarship holders in rural or remote services, experiences of scholarship holders as new graduates in rural and remote services and views on support requirements.

Performance-Based Financing as a Health System Reform: Mapping the Key Dimensions for Monitoring and Evaluation

Mon, 30 Sep 2013 17:00:17 +0000

This paper presents a framework for assessing the interactions between performance-based financing (meaning performance-based incentives are earned by service providers) and health systems, focusing on low and middle income countries in order to develop a framework for monitoring and evaluating health system reforms in general. [adapted from author]

Annotated Literature Review: African Actors, Global Health Governance and Performance-Based Funding

Thu, 29 Aug 2013 21:12:10 +0000

This review highlights the key strengths and weaknesses associated with performance-based funding (PBF) schemes in their use in low- and middle-income countries. It illustrates the theoretical thinking behind PBF implementation. It also seeks to draw out analysis of the role of African actors in global health diplomacy and decision-making surrounding PBF. [from summary]