When incentives work too well: Locally implemented pay for performance (P4P) and adverse sanctions towards home birth in Tanzania - A qualitative study

BMC Health Services Research

Volumn 14, Issue , 2014, Pages

  Chimhutu, Victor ^a   Lindkvist, Ida ^b,c   Lange, Siri ^b  

^a UNIVERSITY OF BERGEN   (Norway)

^b CHR MICHELSEN INSTITUTE   (Norway)

^c Lindkvist Is Currently Employed at Norad   (Norway)

Author keywords

Home birth; Maternal health; Motivation; Mvomero; Payment for performance; Public health; Reproductive health; Results based financing; Tanzania; Working conditions

Indexed keywords

ARTICLE; DELIVERY; ECONOMICS; FEMALE; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HEALTH PERSONNEL ATTITUDE; HUMAN; METHODOLOGY; ORGANIZATION AND MANAGEMENT; PREGNANCY; QUALITATIVE RESEARCH; REIMBURSEMENT; TANZANIA;

ATTITUDE OF HEALTH PERSONNEL; DELIVERY, OBSTETRIC; FEMALE; HEALTH PERSONNEL; HUMANS; PREGNANCY; QUALITATIVE RESEARCH; QUALITY OF HEALTH CARE; REIMBURSEMENT, INCENTIVE; TANZANIA;

EID: 84892473019     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-14-23     Document Type: Article

References (43)

1. Godal T, Concept paper for the global business plan http://www.who.int/ pmnch/events/2007/gbpconceptpaper.pdf
2. Lauglo M, Swai R, Payment for performance appraisal: Report to Norad and the Royal Norwegian Embassy, Tanzania Oslo: Centre for Health and Social Development (HeSo) 2009
3. Eichler R, Can Pay for performance increase utilization by the poor and improve the quality of health services. Background papers for the Working Group on Performance Based Incentives Washington DC: Centre for Global Development 2006
4. Canavan A, Toonen J, Elovainio R, Performance based financing: an international review of the literature Royal Tropical Institute (KIT). Development Policy & Practice 2008
5. World Bank, Results-Based Financing for Health. Brief, Africa Health Forum Washington DC: World Bank 2013
6. Can paying for results help to achieve the Millennium Development Goals? Overview of the effectiveness of results-based financing. Oxman A, Fretheim A, J Evid Based Med 2009 2 2 70 83 10.1111/j.1756-5391.2009.01020.x 21348993
7. Output-based payment to boost staff productivity in public health centres: contracting in Kabutare district, Rwanda. Meessen B, Kashala J-P, Musango L, Bull World Health Organ 2007 85 108 114 10.2471/BLT.06.032110 17308731 (Pubitemid 46203940)
8. Paying for performancein Rwanda: does it pay off? Kalk A, Paul FA, Grabosch E, Trop Med Int Health 2010 15 2 182 190 10.1111/j.1365-3156.2009. 02430.x 19930141
9. What is the empirical basis for paying for quality in health care? Rosenthal MB, Frank RG, Med Care Res Rev 2006 63 2 135 157 10.1177/ 1077558705285291 16595409 (Pubitemid 43344149)
10. Pay-for-performance in health care: what can we learn from international experience? Wilson KJ, Ment Health Fam Med 2013 22 1 2 15 0.1097/QMH. 0b013e31827dea50
11. Systematic review: effects, design choices, and context of pay-for-performance in health care. Van Herck P, De Smedt D, Annemans L, Remmen R, Rosenthal MB, Sermeus W, BMC Health Serv Res 2010 10 1 247 10.1186/1472-6963-10-247 20731816
12. Effect on maternal and child health services in Rwanda of payment to primary health-care providers for performance: an impact evaluation. Basinga P, Gertler PJ, Binagwaho A, Soucat ALB, Sturdy J, Vermeersch CMJ, The Lancet 2011 377 9775 1421 1428 10.1016/S0140-6736(11)60177-3
13. De Walque D, Gertler PJ, Bautista-Arredondo S, Kwan A, Vermeersch C, de Dieu Bizimana J, et al. Using Provider Performance Incentives to Increase HIV Testing and Counseling Services in Rwanda UC Berkeley: Center for Effective Global Action 2013 http://escholarship.org/uc/item/2r69r9ww
14. Gertler P, Vermeersch C, Using Performance Incentives to Improve Medical Care Productivity and Health Outcomes Massachusetts: National Bureau of Economic Research 2013
15. The impact of performance incentives on child health outcomes: results from a cluster randomized controlled trial in the Philippines. Peabody JW, Shimkhada R, Quimbo S, Solon O, Javier X, McCulloch C, Health Policy and Planning 2013 [Epub ahead of print] http://www.ncbi.nlm.nih.gov/pubmed/24134922
16. Lessons from healthcare providers' attitudes toward pay-for-performance: what should purchasers consider in designing and implementing a successful program? Lee JY, Lee S-I, Jo M-W, J Prev Med Public Health 2012 45 3 137 147 10.3961/jpmph.2012.45.3.137 22712040
17. Performance-based payment: some reflections on the discourse, evidence and unanswered questions. Eldridge C, Palmer N, Health Policy Plan 2009 24 3 160 166 10.1093/heapol/czp002 19202163
18. Agency theory-an assessment and review. Eisenhardt KM, Acad Manage Rev 1989 14 1 57 74
19. Multitask principal-agent analyses: incentive contracts, asset ownership, and job design. Holmstrom B, Milgrom P, J Law Econ Organ 1991 7 24 52 10.1093/jleo/7.special-issue.24
20. Frey BS, Jegen R, Motivation crowding theory: A survey of empirical evidence University of Zurich: Institute for Empirical Research in Economics 2000
21. The quality of medical advice in low-income countries. Das J, Hammer JS, Leonard K, J Econ Perspect 2008 22 2 93 114 10.1257/jep.22.2.93
22. Overworked? On the relationship between workload and health worker performance. Mæstad O, Torsvik G, Aakvik A, J Health Econ 2010 29 5 686 698 10.1016/j.jhealeco.2010.05.006 20633940
23. Why don't clinicians adhere more consistently to Integrated Management of Childhood Illness (IMCI) guidelines? Lange S, Mwisongo A, Mæstad O, Soc Sci Med in press
24. Human resources for health in Tanzania: challenges, policy options and knowledge gaps: Chr. Michelsen Institute Report R Bergen 2006
25. Motivation, money and respect: a mixed-method study of Tanzanian non-physician clinicians. Chandler C, Chonya S, Mtei F, Reyburn H, Whitty C, Soc Sci Med 2009 68 11 2078 2088 10.1016/j.socscimed.2009.03.007 19328607
26. Perceived unfairness in working conditions: the case of public health services in Tanzania. Songstad NG, Rekdal OB, Massay DA, Blystad A, BMC Health Serv Res 2011 11 1 34 10.1186/1472-6963-11-34 21314985
27. Eichler R, Morgan L, Pay for performance in Tanzania Bethesda, Maryland: Health Systems 20/20 project, Abt. Associates 2009
28. The United Republic of Tanzania, Payment for performance strategy 2008-2015, Agenda No 5.1 Dar es Salaam: Ministry of Health and Social Welfare 2008
29. Assessing performance enhancing tools: experiences with the open performance review and appraisal system (OPRAS) and expectations towards payment for performance (P4P) in the public health sector in Tanzania. Songstad NG, Lindkvist I, Moland KM, Chimhutu V, Blystad A, Global Health 2012 8 1 1 13 10.1186/1744-8603-8-1 22233652
30. The United Republic of Tanzania, The Pwani region pay-for-performance (P4P) pilot: design document Dar es Salaam: Ministry of Health and Social Welfare 2012
31. Smithson P, Eichler R, Winani S, Msuya A, Olsen T, Musch E, Results-based bonus design, implementation & budget: "Malipo kwa Ufanisi Bora katika Huduma za Afya" (MUBHA) Dar es Salaam: Ministry of Health and Social Welfare of Tanzania 2008
32. National Bureau of Statistics (NBS), ICF Macro, Demographic and Health Survey 2010 Dar es Salaam: NBS and ICF Macro 2011
33. The United Republic of Tanzania, Mvomero District Council: Comprehensive Council Health Plan July 2009-June 2010 Dar es Salaam: Prime Minister's Office- Regional Administration and Local Government 2009
34. Doing interviews London: SAGE, Kvale S, 2007
35. The United Republic of Tanzania, Human resource for health strategic plan 2008-2013 Dar es Salaam: Ministry of Health and Social Welfare 2008
36. Chimhutu V, Pay for performance in maternal health in Tanzania: perceptions, expectations and experiences in Mvomero district Masters thesis. University of Bergen: Department of Health Promotion and Development 2011
37. Factors affecting home delivery in rural Tanzania. Mrisho M, Schellenberg AJ, Mushi KA, Obrist B, Mshinda H, Tanner M, et al. Trop Med Int Health 2008 12 862 872 (Pubitemid 46998284)
38. Why caretakers bypass Primary Health Care facilities for child care-a case from rural Tanzania. Kahabuka C, Kvale G, Moland KM, Hinderaker SG, BMC Health Serv Res 2011 11 315 10.1186/1472-6963-11-315 22094076
39. The return of population control: incentives, targets and the backlash against Cairo. Hartmann B, DifferenTakes Spring 2011 70 1 4
40. Paying for performance and the social relations of health care provision: an anthropological perspective. Magrath P, Nichter M, Soc Sci Med 2012 2012 2012
41. Ifakara Health Institute, P4P Process Round One Report: An Assessment of Activities Implemented from the Introduction of the Scheme in January 2011- up to March 2012 Dar es Salaam: Ifakara Health Institute 2012
42. Responsibility for what? Fairness and individual responsibility. Cappelen AW, Sorensen EO, Tungodden B, Eur Econ Rev 2010 54 3 429 441 10.1016/j.euroecorev.2009.08.005
43. Nozick R, Anarchy, State and Utopia New York: Basic books 1974