Informal payments—payments made from patients to health personnel in excess of official fees—are widespread in low-income countries. It is not obvious how such payments affect health worker effort. On the...

Health workers’ motivation is a key determinant of the quality of health services, and poor motivation has been found to be an obstacle to service delivery in many low-income countries....

Motivational crowding-out theory establishes that the effectiveness of financial incentive schemes, like pay-for-performance, crucially depends on the underlying social preferences of health workers. In this paper we study the extent...

Kommentar i Samfunnsøkonomen til resultatbasert finansiering.

A study of diagnostic effort documents low worker effort in both churchbased and government health facilities. Despite a strong perception among patients about good medical quality in church-based health clinics, health workers in...