Evidence on the impact of salary supplementation schemes on performance of health workers

This helpdesk report explores the evidence available on the impact of salary supplementation schemes on the performance, recruitment and retention of health workers. Salary supplementation can be defined as monetary payments or in-kind benefits paid to staff above the standard compensation for their position. There are two key types of salary supplementation schemes: those aiming… Read more

Increasing the provision of essential health care services through support of health workers in Sierra Leone

DFID committed 12 million GBP to uplift frontline health workers’ salaries in Sierra Leone from 2010 to 2015 to support the implementation of the Free Healthcare Initiative (FHCI), launched in April 2010, which made health services free for pregnant women, children under five years of age and nursing mothers. Increasing the availability of frontline health… Read more

Implications of the community health policy change in Kenya in light of world health worker week #WHWWeek

Kenya’s community health strategy (2006) expounds the country’s plan to expand access to community health care for the whole population, through two close-to-community providers:  community health workers (CHWs) (community selected community members who carry out a range of activities at household level) and community health extension workers (CHEWs) (government selected workers who supervise CHWs among… Read more

Health Quality Incentives

This report includes the following sections: Financial incentives that have proved successful in raising health service quality include Pay-for-Performance in Rwanda which has increased the contraceptive prevalence rate, the percentage of births attended, reduced child mortality and increased vaccinations.  Performance-based incentives improved indicators in Argentina including a 10-40% increase in the percentage of women receiving the… Read more


mHealth refers to medical and public health practice supported by mobile devices.  Mobile phones and internet technology are being used in developing countries for health projects with some success. The bulk of the literature is on phones being used for workers to communicate with patients and for reporting and surveillance, rather than for communication between… Read more

Multiple public-private job holding of health care providers in developing countries: an exploration of theory and evidence

HSRC REPORT: This review examines the systematic and individual causes of multiple job-holding (MJH) and evidence on its prevalence through an analysis of country-level conditions. It draws attention to the need to conduct more research and evaluation of causes of multiple job holding among health workers.