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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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Service delivery to the poor is complicated by the extra effort required to deliver services to them and the intrinsic incentives of service providers to exert this effort. Incentive schemes typically fail to account for these complications. A lab-in-the-field experiment with nearly 400 health workers in rural Burkina Faso provides strong evidence that the interaction of effort costs, ability, and intrinsic and extrinsic incentives significantly influences service delivery to the poor.

To investigate these interactions, this research used a lab-in-the-field asking health workers to review video vignettes of medical cases involving poor and nonpoor patients under a variety of bonus schemes and contract types. The results indicate strong differences on the effect of bonuses to serve the poor versus nonpoor, as well as differences in preferences of contract types for pro-poor workers.

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Webex link
Meeting number (access code): 730 469 732
Meeting password: dmB4UMJM

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1-650-479-3207 Call-in toll number (US/Canada)
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A light lunch will be served.

Speaker

Damien de Walque, Senior Economist, World Bank

Damien de Walque is a Senior Economist in the Development Research Group (Human Development Team) at the World Bank. He received his Ph.D.in Economics from the University of Chicago in 2003. His research interests include health and education and the interactions between them. His current work is focused on evaluating the impact of financial incentives on health and education outcomes. He is currently evaluating the education and health outcomes of conditional cash transfers linked to school attendance and health center visits in Burkina Faso.

Discussant

Benjamin Daniels, Research Analyst, World Bank

Benjamin Daniels is a Research Analyst in the Development Research Group (Human Development and Impact Evaluation teams) at the World Bank. His research focuses on the delivery of high-quality primary health care in developing contexts. His work has highlighted the importance of direct measurement of health care provider knowledge, effort, and practice, primarily through research studies utilizing clinical vignettes, provider observations, and standardized patients.

Materials

 
Working Paper: Encouraging Service Delivery to the Poor
Research