Hi All -
I’m stepping in for @mballard today. I recently joined the Community Health Impact Coalition and am pleased to share the latest version of our fortnightly Research Round-Up. This issue covers papers indexed (largely!) since March 24. Please feel free to reply to this thread with anything we may have missed.
Because I’m a new user, I can only post two links at a time. Apologies in advance for multiple posts on this thread!
Community Health Research Round-Up, Issue 030
March 24, 2020 - April 6, 2020
Comments: BMGF-funded study by IADB evaluates effect of in-kind, group-based incentives on community health worker performance. Incentives were awarded in the form of “points” that teams could choose to redeem for laptops, air conditioners, microwaves, and other assets. (N.B In their recent guideline - which came out at the end of 2018 - the WHO suggests not the WHO suggests not paying CHWs exclusively or predominantly according to performance-based incentives (PBI). The rationale for this recommendation was based on the evidence of potential harm: (1) PBI encouraged uneven focus on certain activities due to their association with higher incentives, especially when CHWs had no basic remuneration, leading to the neglect of other important activities or responsibilities + (2) CHWs expressed dissatisfaction with performance-based incentive models in relation to amounts paid and inconsistent and incomplete payment of incentives. Only the first pitfall is considered in this study)
Methods: Randomized trial (12 month intervention)
Takeaway: In-kind, group-based incentives generated significant improvements in a variety of indicators (community outreach, quality of care, timeliness of care, and utilization of maternal and child health services after 12 months); “in-kind group incentives may be a viable alternative to monetary incentives in certain contexts” ( Editorial note: that context being a barter economy…?)