Document Type: Auditing Document Report No.: AUD0020538 Document Date: APR 10, 2019

Author: Okuny,Michael Eriu Disclosure Status: Disclosed

The Three-Gap Model examines the determinants of low-quality health care by examining the patterns and determinants of three gaps. Using four measures of performance -- target performance, actual performance, capacity to perform, and knowledge to perform -- this paper defines three gaps for each health worker: the gap between target performance and what they have the knowledge to do (the know gap), the gap between their knowledge and their capacity to perform (the know-can gap), and the gap between their capacity and what they actually do (the can-do gap). ... See More + The paper demonstrates how the patterns of these gaps across health workers in a sample can be used to diagnose failures in the system as well as evaluate the outcomes of policy experiments. Using data on pediatric care from hospitals in Liberia, the paper illustrates how the model can be used to investigate the potential for improvements in the quality of care from several possible policy interventions. The analysis of the relationships between these gaps across health workers in a health system help to paint a better picture of the determinants of performance and can assist policy makers in choosing relevant policies to improve health worker performance.  See Less -

Document Type: Policy Research Working Paper Report No.: WPS8782 Document Date: MAR 14, 2019

Author: Ibnat,Fabliha; Leonard,Kenneth L; Bawo,Luke; Mohammed-Roberts,Rianna L. Disclosure Status: Disclosed

Document Type: Implementation Status and Results Report Report No.: ISR35354 Document Date: MAR 03, 2019

Author: Hurpy,Charles Pierre Marie Disclosure Status: Disclosed

Document Type: Project Information and Integrated Safeguards Data Sheet Report No.: PIDISDSA25357 Document Date: JAN 18, 2019

Author: Ozaltin,Emre Disclosure Status: Disclosed

Document Type: Project Paper Report No.: RES25298 Document Date: DEC 19, 2018

Author: Lemiere,Christophe Disclosure Status: Disclosed

Do service providers respond to pecuniary incentives to serve the poor? Service delivery to the poor is complicated by the extra effort required to deliver services to them and the intrinsic incentives of service providers to exert this effort. ... See More + Incentive schemes typically fail to account for these complications. A lab-in-the-field experiment with nearly 400 health workers in rural Burkina Faso provides strong evidence that the interaction of effort costs, ability, and intrinsic and extrinsic incentives significantly influences service delivery to the poor. Health workers reviewed video vignettes of medical cases involving poor and nonpoor patients under a variety of bonus schemes. Bonuses to serve the poor have less impact on effort than bonuses to serve the nonpoor; health workers who receive equal bonuses to serve poor and nonpoor patients see fewer poor patients than workers who receive only a flat salary; and bonuses operate largely through their influence on the behavior of pro-poor workers. The paper also presents novel evidence on the selection effects of contract type: pro-poor workers prefer the flat salary contract to the variable salary contract.  See Less -

Document Type: Policy Research Working Paper Report No.: WPS8666 Document Date: DEC 06, 2018

Author: Banuri,Sheheryar; De Walque,Damien B. C. M.; Keefer,Philip E.; Robyn,Paul Jacob Disclosure Status: Disclosed

Document Type: Procurement Plan Report No.: STEP14948 Document Date: NOV 29, 2018

Author: Carol Ngunu (Dr) Disclosure Status: Disclosed

Document Type: Procurement Plan Report No.: STEP14272 Document Date: NOV 07, 2018

Author: Adiaratou Diakhou Ndiaye Disclosure Status: Disclosed

Document Type: Implementation Status and Results Report Report No.: ISR34215 Document Date: OCT 27, 2018

Author: Karamoko,Djibrilla Disclosure Status: Disclosed

Document Type: Implementation Status and Results Report Report No.: ISR33911 Document Date: OCT 09, 2018

Author: Araujo,Edson Correia Disclosure Status: Disclosed