Financial incentive schemes in public health: Evidence from Sierra Leone
This brief explores findings from a field study of a community health
programme in Sierra Leone seeking to understand how financial
incentives can impact public service and public health outcomes.
- Sharing incentives equally between Community Health Workers
(CHW) and their supervisors generates an increase in household
health visits that is 61% larger than the impact achieved when
offering the incentive either exclusively to the worker or to the
- The shared incentives scheme also translates into better access to
pre- and post-natal care and lower disease incidence.
- This policy brief highlights the conditions needed for shared
incentives to be the optimal incentive structure for an organisation
and provides insights for policy.