A FEW CENTIMETERS ON MEASUREMENTPaul Gertler

UC Berkeley

April 2013

IFC, World Bank

Some ways measurement can Improve Performance ….

• Knowing how well you are doing• Enables intrinsic and extrinsic motivation

• Let consumers know • Enhances competition

• Let the market know• Access to finance and investment

Example 1: Keeping track of time

• Online application to course• Complaints take too long• Inattention?

• Created expectations (15 min)•

• Added clock onto screen

• Evaluated using RCT

The Clock

4

Results

• Time saved:Ave without clock = 36 minutes

Ave with clock = 21 minutes

Savings = 15 minutes

• Money saved:344 applicants for 86 hrs @ $40/hr for $3443.00

• No fall in performance on test

Example 2: Pay for Performance

• Primary health care in Rwanda

• Pay for more higher quality • Das type measures

• Evaluated in national rollout using RCT• Held budget constant• Increase productivity•

• Results: • Higher quality & improved heath outcomes

African Health Equity Markets• Scale-up private primary health

• Constraints• Access to finance• Standardizing and monitoring quality• Management process

• Solutions• Franchising, management systems & finance• All involve performance measurement

• Evaluating using RCT

So, Measuring performance …

• Allows• Knowing what you are doing • Others to know as well

• Enables• Use of intrinsic & extrinsic incentives• Competition• Access to finance• Scaling-up

• How do we know exactly how? – evaluate!