Sources, determinants and utilization of health workers’ revenues: evidence from Sierra Leone

by Maria Paola Bertone and Mylene Lagarde
Health Policy Plan. (2016) – First published online: April 6, 2016

10 pp. 225 kB

Exploring the entire set of formal and informal payments available to health workers (HWs) is critical to understand the financial incentives they face and devise effective incentive packages to motivate them. The authors find that, while earnings related to the HWs official jobs represent the largest share, their income is fragmented and composed of a variety of payments, and there is a large heterogeneity in the importance of each income source within the total remuneration. Together, the findings on earning and income use patterns have important policy implications for how we go about (re)thinking financial incentive strategies.

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