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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Health Care Worker Performance—Modelling the Gaps in Quality of Care

Despite significant increases in funding directed at improving access to health care in developing and transition countries, important obstacles to quality care remain. Why do health workers not do the things for their patients that they are supposed to do? The low quality of services can be traced to poorly trained health workers, inadequate levels of infrastructure, equipment, and consumables and low levels of motivation among health workers; but which of these problems is more important and how can they be best leveraged to improve performance?

Using a unique data set from Liberia, this discussion will introduce a model of individual health worker performance that uses three measures of performance: the knowledge to perform, the capacity to perform and actual performance itself. Three gaps are defined from these measures: the gap between what a health worker should be doing and what they have the knowledge to do (the know gap); the gap between what they have the knowledge to do and their capacity to perform (the know-can gap) and the gap between what they have the capacity to do and what they do (the can-do gap). The analysis of these gaps and their patterns across health workers in a health system help to paint a better picture of performance and can assist policy makers in choosing policy.

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Gaston Sorgho, World Bank

Gaston Sorgho is Practice Manager at the Health, Nutrition & Population Global Practice at the World Bank. A medical doctor by training, Gaston Sorgho received a Master of Public Health degree from the University of Amsterdam and a PhD in Public Health from the Harvard School of Public Health. He joined the World Bank in 1999 and has since worked all over Africa, spending several years as a Senior Public Health Specialist in the country offices of Cote d’Ivoire and Mali. From 2005 to 2009, he joined World Bank Institute (WBI) in Washington DC to teach courses on health sector reform and Results Based Financing in Africa, Europe and Asia. He was Country Manager in Mauritanie (2014-2016). Before joining the Bank he served more than 15 years at the Ministry of Health in Burkina Faso.


Kenneth Leonard, University Of Maryland

Professor Leonard is an applied development economist and associate professor in the department of Agricultural and Resource economics at the University of Maryland with expertise in Africa and a focus on human capital services in the rural economies of developing countries. His research deals primarily with the delivery of health care in Africa, notably the role of institutions in mitigating the adverse consequences of asymmetric information. This has led him to research peer effects and social networks as well as the role of nongovernmental organizations (NGOs) in the provision of public services---particularly services characterized as credence goods, such as those supplied by teachers and doctors.


Mickey Chopra, World Bank

Dr. Mickey Chopra is currently the Global Solutions Lead for Service Delivery in the Health Nutrition and Population global practice of the World Bank. He leads its work around the organization, management and quality of health services. Previous to this he was the Chief of Health and Associate Director of Programs at UNICEF’s New York Headquarters. Additionally, he has chaired the Evaluation and Research Group at the Global Fund for HIV/AIDS, TB and Malaria to ensure that their investments are reaching those most in need and chaired the Special Committee for Large Countries for GAVI that worked on ensuring increased coverage of vaccines for Nigeria and India in particular. He led the technical team that oversaw the UN Commission on Essential Medicines and Commodities.

Petra Vergeer, The Global Financing Fascility

Petra Vergeer is a Senior Health Specialist with over 20 years’ experience working in public health and health system strengthening programs in developing countries, including fragile states. Petra provides technical support to countries on design and implementation, including on Results Based Financing (RBF) – an area of expertise. Petra also leads the Capacity building and Knowledge & Learning portfolio for both RBF and GFF. She graduated with a bachelor’s degree in Nursing and a postgraduate in Tropical Medicine and Public Health from Leidse Hogeschool. She received her Master’s degree in International Relations from University of New South Wales, Australia and Master’s in Public Administration from University of Leiden.