Using Performance Incentives to Improve Health Outcomes [book]

Paul Gertler, Christel Vermeersch
2012 Policy Research Working Papers  
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 This paper is a product of the Health, Nutrition and
more » ... Population Team, Human Development Network. It is part of a larger effort by the World Bank to provide open access to its research and make a contribution to development policy discussions around the world. Policy Research Working Papers are also posted on the Web at The author may be contacted at 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.
doi:10.1596/1813-9450-6100 fatcat:del7h5b7kbeovc673hy5xkpcx4