Using Nonfinancial Incentives to Improve Performance and Retention among Health Workers: Results from an Impact Evaluation in Swaziland

Cover Page: Using Nonfinancial Incentives to Improve Performance and Retention among Health Workers: Results from an Impact Evaluation in SwazilandResource Type: Report
Authors: Marc Luoma, Nirmala Ravishankar, Ananya Price, Jason Bedford, and Alfred Mndzebele
Published: 4/1/2011

Resource Description:

Swaziland’s HIV/AIDS prevalence rate among adults is among the highest in the world. A shortage of trained health personnel and suboptimal productivity within the existing workforce are key impediments to scaling up HIV/AIDS prevention and treatment in Swaziland.

In 2009, Health Systems 20/20 began pilot-testing a 12-month operational research study to assess the effect of a nonmonetary incentive scheme aimed at increasing the performance of public health workers in providing HIV/AIDS testing and counseling in Swaziland, and also measure the effects on provider retention. This report summarizes the results of the end-line assessment that was conducted at the end of the intervention in September-October 2010.

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