The effect of performance-based financing interventions on health worker motivation and job satisfaction: experimental evidence from six national pilots.

ABSTRACT: A long-standing concern suggests that performance-based financing (PBF) may undermine the intrinsic motivation of health workers by heightening extrinsic motivation concerns via the novel introduction of financial incentives. However, the theoretical effect of PBF on worker motivation and job satisfaction is ambiguous as these programs may also improve working conditions, staff engagement, and other factors that determine health worker morale. We use data from six evaluations of national pilots to empirically assess the effect of PBF on worker motivation and job satisfaction. In these six pilots (in Cameroon, Kyrgyz Republic, Nigeria, Tajikistan, Zambia, and Zimbabwe), geographical units (or health facilities) were either randomized or quasi-experimentally assigned to receive PBF or the al

SUBMITTER: Lamba S 

PROVIDER: S-EPMC12448913 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature