Outputs from the project Health Workers’ Remuneration, Incentives and Accountability in Sierra Leone

Below are listed the outputs from the project Health Workers’ Remuneration, Incentives and Accountability in Sierra Leone

• Sources, determinants and utilization of health workers’ revenues: evidence from Sierra Leone
  Resource Type: Peer Reviewed Articles
  Year: 2016
  Description: This paper investigates the entire set of formal and informal payments available to health workers (HWs) in Sierra Leone, through combined quantitative and qualitative approaches. The paper shows the fragmented nature of remuneration, and heterogeneity in the importance of different income sources. It describes the ways HWs are ‘managing’ in order to ensure their livelihoods and those of their families. The findings have important policy implications for financial incentive strategies.

• Performance-based financing in the context of the complex remuneration of health workers: findings from a mixed-method study in rural Sierra Leone
  Resource Type: Peer Reviewed Articles
  Year: 2016
  Description: The study investigates the absolute and relative contribution of performance-based financing (PBF) to health workers’ income and explores their views on PBF bonuses, in comparison to and interaction with other incomes. The study confirms the complex and interrelated nature of health workers’ remuneration and that the different financial incentives cannot be examined independently from one. It also shows that the way PBF schemes are implemented has an impact on health worker motivation.

• An exploration of the political economy dynamics shaping health worker incentives in three districts in Sierra Leone
  Resource Type: Peer Reviewed Articles
  Year: 2015
  Description: This paper focuses on health worker incentives and payment practices in Sierra Leone and presents an empirical exploration of implementation processes at district level. It finds that ‘bargaining’ between NGOs and DHMT reshapes HRH incentives, and that improving coordination within districts is critical. Factors that contributed to the collapse of healthcare with Ebola are identified.

• Performance-Based Financing in the context of the ‘complex remuneration’ of Health Workers – Findings from a mixed-methods study in rural Sierra Leone
  • Resource Type: Presentations
  • Year: 2015
  • Description: Presentation by ReBUILD Affiliate researcher Maria Paola Bertone given at the International Health Economics Association Congress in Milan 15th July 2015

• Financial incentives for human resources for health: What do we know? What do we do? The case of Sierra Leone
  Resource Type: Presentations
  Year: 2014
  Description: Abstract of an oral presentation given by Maria Paola Bertone at the “Health Services Research: Evidence-Based Practice” conference in July 2014
• Investigating health workers remuneration in Sierra Leone – preliminary results and reflections on methods
  Resource Type: Presentations
  Year: 2014
  Description: Presentation given by Maria Paola Bertone at the 3rd Conference of the African Health Economics and Policy Association (11-13 March, 2014, Nairobi).
• Incentives to improve health workers’ retention and motivation: implementation challenges and informal practices at district level. The role of DHMTs and NGOs
  Resource Type: Briefs
  Year: 2015
• Exploring the remuneration of primary healthcare workers: findings on incomes and income use strategies in Sierra Leone. What lessons can be learnt to design effective financial incentives?
  Resource Type: Briefs
  Year: 2015

• Bertone MP, Witter S (2015), The complex remuneration of Human Resources for Health in low-income settings: policy implications and a research agenda for designing effective financial incentives. Human Resources for Health, 13:62. http://www.human-resources-health.com/content/13/1/62

• Bertone MP (2014), Financial incentives for human resources for health: What do we know? What do we do? The case of Sierra Leone. [Conference Abstract – Health Services Research: Evidence-based practice. London, UK. 1-3 July 2014]. BMC Health Services Research, 14 (Suppl. 2): O22. http://www.biomedcentral.com/1472-6963/14/S2/O2

• What do health workers do, and why? A study of the activities performed by primary healthcare workers in Sierra Leone.
  • Resource Type: Poster
  • Year: 2016
  • Poster presented at the 4th Global Symposium on Health Systems Research 16th-18th November, Vancouver, Canada