Salary delays among public sector primary care workers: evidence from facility surveys across 16 low- and middle-income countries.

ABSTRACT:

Background

Primary healthcare is crucial for universal health coverage in low- and middle-income countries. While research on improving workforce performance has focused on training and incentives, the impact of basic payment system functions remains underexplored. This study investigates salary delays among public-sector primary care workers across 16 low- and middle-income countries and the association of delays with worker outcomes.

Methods

We analysed data from World Bank Service Delivery Indicators and Health Results-Based Financing surveys (2010-2018), covering 22 003 primary care workers from 8301 public-sector facilities. Salary delay was defined as any self-reported delay in receiving the previous month's base salary. We examined patterns of delays and their associa

SUBMITTER: Zhang H 

PROVIDER: S-EPMC12699552 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature