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

Abstract : Performance-based financing becomes a common strategy to improve health sector quality. The findings of this paper imply that performance-based financing should take motivational effects and levels of provider capacity into account. Using a field experiment in the Democratic Republic of Congo, we find that financial incentives led to more effort from health workers on rewarded activities, without deterring effort on non-rewarded activities. We also find a shift from intrinsic to extrinsic motivation. Finally, the increased effort by health workers proved unsuccessful and led to a reduction in revenue, suggesting that health workers lacked the capacity to develop appropriate strategies to perform.
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https://hal-sciencespo.archives-ouvertes.fr/hal-01071880
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Submitted on : Monday, October 6, 2014 - 11:30:24 PM
Last modification on : Friday, April 29, 2022 - 10:12:42 AM
Long-term archiving on: : Friday, April 14, 2017 - 2:19:27 PM

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Elise Huillery, Juliette Seban. Performance-Based Financing, Motivation and Final Output in the Health Sector: Experimental Evidence from the Democratic Republic of Congo. 2014. ⟨hal-01071880⟩

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