title: Impact of a service provider incentive payment scheme on quality of reproductive and child-health services in Egypt.
abstract: A case-control, quasi-experimental study was designed (post-test only) to investigate the effect of a performance-based incentive payment scheme on behaviours of public-sector service providers in delivering a basic package of maternal and child-health services in Egyptian primary healthcare units. The results showed significant improvements in the quality of family-planning, antenatal care, and child-care services as reported by women seen in clinics where the incentive payment scheme was in operation as measured by various indicators, including both technical and inter-personal communication content. An analysis of characteristics of the service providers and clients found no significant or meaningful differences between the study groups, and the facilities of both the study groups were essentially the same. Some findings are suggestive of other influences on behaviours of the service providers not captured by the data-collection instruments of the study. Subsequent to this study, the payment scheme has been rolled out to other districts in Egypt.
authors.affiliation: Reproductive Health and Research Department, World Health Organization, Geneva, Switzerland. huntingtond@who.int
authors.forename: Dale
authors.initials: D
authors.lastname: Huntington
authors.forename: Hassan H M
authors.initials: HH
authors.lastname: Zaky
authors.forename: Sherine
authors.initials: S
authors.lastname: Shawky
authors.forename: Faten Abdel
authors.initials: FA
authors.lastname: Fattah
authors.forename: Eman
authors.initials: E
authors.lastname: El-Hadary
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D002648:Child; D002662:Child Health Services / Q000191:economics*; D002675:Child, Preschool; D004534:Egypt; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000191:economics; D011787:Quality of Health Care / Q000191:economics*; D012052:Reimbursement, Incentive / Q000191:economics*; D034121:Reproductive Health Services / Q000191:economics*; D055815:Young Adult