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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
McGill Humanitarian Studies Initiative - Lajoie
Video
• http://youtu.be/u6XAPnuFjJc
McGill Humanitarian Studies Initiative - Lajoie
What motivates us?
Mechanical skills
Performance =
Cognitive skills
Performance ≠
McGill Humanitarian Studies Initiative - Lajoie
What motivates us?
Once money is off the table:
Autonomy MasteryPurpose
+McGill Humanitarian Studies Initiative - Lajoie
Community Health Workers
Some algorithmic work
But much more than
And other motivators …
McGill Humanitarian Studies Initiative - Lajoie
Motivators
Purpose
StatusSupervision
Justice
…McGill Humanitarian Studies Initiative - Lajoie
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
McGill Humanitarian Studies Initiative - Lajoie
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?
McGill Humanitarian Studies Initiative - Lajoie
Survey
Paper copy
OR
https://www.surveymonkey.com/s/CHW-Survey
McGill Humanitarian Studies Initiative - Lajoie
Conclusion
• Complex subject• Promote research • Exchange experiences
Thank you ! Merci [email protected]
McGill Humanitarian Studies Initiative - Lajoie
