Payday, Ponchos, or a Plethora of Incentives_Lajoie_10.14.11

Payday, Ponchos, or a Plethora of Incentives?

Marie-Renée B-Lajoie, MDCM CORE Group Meeting- October 14th 2011

What is you organization’s experience? A short survey proposition.

Remuneration and Incentives for Community Health Workers

Plan

• Video• Introduction• Discussion• Survey

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Video

• http://youtu.be/u6XAPnuFjJc

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What motivates us?

Mechanical skills

Performance =

Cognitive skills

Performance ≠

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What motivates us?

Once money is off the table:

Autonomy MasteryPurpose

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Community Health Workers

Some algorithmic work

But much more than

And other motivators …

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Motivators

Purpose

StatusSupervision

Justice

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Background

Background

CHWs: Incentives & Disincentives

Relationship with community = IMPORTANTMIX intrinsic & extrinsicCHWs need to be recognized as volunteersNeed to understand: WHY are CHWs dropping

out?More research on financing schemes &

retention/attrition are needed

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Bhattacharyya et al. CHWs: Incentives & Disincentives

Our survey

Document current practices in CHW programs – Monetary & non-monetary incentives– Relation to attrition

•Based on the population of iNGOs affiliated with the CORE group•NOT representative of ALL CHWs programs•BUT sample of program experiences

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Discussion points • In your programs, what monetary incentives have

contributed to the success/good performance ? • What monetary incentives have proven

problematic or disincentivized CHW performance?

• What are the most important ethical and practical issues at play in your experience with deciding on CHW incentives and compensation?

• Are their national guidelines to help guide this process where you work? How has this been helpful or problematic?

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Survey

Paper copy

OR

https://www.surveymonkey.com/s/CHW-Survey

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Conclusion

• Complex subject• Promote research • Exchange experiences

Thank you ! Merci !marie-renee.lajoie@mail.mcgill.ca

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