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As part of our mandate to gather and disseminate evidence and knowledge from global RBF experiences, RBF Health regularly organizes events, including seminars and capacity building workshops.
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Can Incentives for Frontline Health Workers Impact Health Outcomes? Case studies from India

Impacting Child Health:  Evidence from an experiment with Anganwadi workers 

In this BBL we look at the Impact of Incentives on Health Worker Performance and Health outcomes in the Indian Context. 

In the first presentation Prakarsh Singh will detail his work on the effectiveness of using performance pay among government caregivers to improve child health outcomes. In a controlled study of 160 daycare centers serving over 4000 children, the team randomly assign workers to receive either fixed bonuses or payments based on the nutritional status of children in their care, and test for changes in child health relative to a control group where no bonuses are introduced. The team found that performance pay reduces the prevalence of weight-for-age malnutrition by about 5 percentage points over 3 months relative to control groups.

In the second presentation Thomas Bossuroy will share how they adapted the incentives structure of health workers, including through reinforced monitoring to improve Tubercoulosis (TB) outcomes. The team exploits the random placement of biometric devices recording TB patients’ adherence to treatment and health workers’ attendance at treatment centers in urban slums across four Indian states.  They found that patients seeking treatment in health centers equipped with a biometric monitoring device are 20% less likely to interrupt their treatment than those enrolled in a regular center. They also found that the use of biometric devices significantly reduces misreporting of performance by health workers. Biometric monitoring appears as a promising tool for strengthening today’s public-sector strategy for TB control.

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Breakfast will be served

Prakarsh Singh, Assistant Professor of Economics, Amherst College

Prakarsh Singh is Assistant Professor of Economics at Amherst College, Massachusetts. He completed his Ph.D. in Economics from the London School of Economics in 2011. He has an MRes. and a BSc. in Economics also from the London School of Economics. He has carried out four field experiments in India in association with state governments, targeting child malnutrition in Chandigarh (twice), West Bengal, and Punjab. He has received research grants from the Bill & Melinda Gates Foundation (twice), DFID, UNU-WIDER, Fordham University, and several state governments in India (Punjab, West Bengal, Chandigarh, Tamil Nadu, Rajasthan). He has published in The Journal of Economic Behavior & Organization, The Journal of Conflict Resolution, BE Journal of Economic Analysis & Policy, The Economics of Education Review, The Journal of Development Studies among others. He is also a Visiting Fellow at Navarra Center for International Development, Spain, a Research Affiliate at IZA, Germany, and a visiting scholar at the University of Pennsylvania.

Thomas Bossuroy, Economist, Africa Region World Bank

Thomas Bossuroy is an Economist in the Social Protection Practice, working primarily on social safety nets and employment programs for the poor in Benin, Nigeria and several Sahel countries. His work covers project management, analytical activities and impact evaluations on safety nets, livelihoods, employment and the political economy of social protection. Another arm of his research focuses on innovative service delivery strategies in healthcare, with a focus on combating Tuberculosis in India. Prior to joining the World Bank, Thomas was a research fellow at the University of Cape Town (South Africa). He started his career as Executive Director of J-PAL South Asia based in Chennai (India) where oversaw a range of randomized controlled trials and managed a growing organization with presence across India. Thomas received a Ph.D. in Economics from the Paris School of Economics.

Rifat Hasan, Senior Health Specialist, South Asia Region, World Bank

Chair

Dinesh Nair, Senior Health Specialist, GFF, Health, Nutrition and Population

Materials

 
Impact of caregiver incentives on child health: Evidence from an experiment with Anganwadi workers in India
Case Study
Presentation
Impact of caregiver incentives on child health: Evidence from an experiment with Anganwadi workers in India
Presentation
Presentation
Biometric Monitoring Improves Healthcare
Presentation
 
Biometric Monitoring Improves Healthcare
Research