Encouraging Service Delivery to the Poor

dc.creatorBanuri, Sheheryar
dc.creatorde Walque, Damien
dc.creatorKeeper, Philip
dc.creatorRobyn, Paul Jacob
dc.date2018-12-11T18:48:43Z
dc.date2018-12-11T18:48:43Z
dc.date2018-12
dc.date.accessioned2026-07-01T00:42:36Z
dc.descriptionDo service providers respond to pecuniary incentives to serve the poor? 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. Health workers reviewed video vignettes of medical cases involving poor and nonpoor patients under a variety of bonus schemes. Bonuses to serve the poor have less impact on effort than bonuses to serve the nonpoor; health workers who receive equal bonuses to serve poor and nonpoor patients see fewer poor patients than workers who receive only a flat salary; and bonuses operate largely through their influence on the behavior of pro-poor workers. The paper also presents novel evidence on the selection effects of contract type: pro-poor workers prefer the flat salary contract to the variable salary contract.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/126181544125231736/Encouraging-Service-Delivery-to-the-Poor-Does-Money-Talk-When-Health-Workers-Are-Pro-Poor
dc.identifierhttps://hdl.handle.net/10986/30988
dc.identifier10.1596/1813-9450-8666
dc.identifier.urihttp://hdl.handle.net/123456789/409623
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relationPolicy Research Working Paper;No. 8666
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo
dc.rightsWorld Bank
dc.subjectSERVICE DELIVERY
dc.subjectHEALTH SERVICES
dc.subjectPUBLIC HEALTH
dc.subjectACCESS TO HEALTH CARE SERVICE
dc.subjectHEALTH WORKERS
dc.subjectINEQUALITY
dc.titleEncouraging Service Delivery to the Poor
dc.titleDoes Money Talk When Health Workers Are Pro-Poor?
dc.typeWorking Paper
dc.typeDocument de travail
dc.typeDocumento de trabajo

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