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• W2285650222 abstract "Most developing countries face important challenges regarding the quality of health care that is provided. While there is a growing consensus that health workers play an important role, there is no framework to analyze their role. Using qualitative data, the authors propose to take an institutional perspective, and focus on four institutional factors that affect health worker performance and career choice. Ranked in order of ease of malleability by policymakers they are: incentives, monitoring arrangements, professional norms; and health workers' intrinsic motivation. Using qualitative data obtained from interviews with users of health services and different levels of health workers in rural and urban Rwanda, the authors show how these factors affect the quality of health care by impacting on the performance and career choices of health workers; the authors also provide illustrations of three institutional innovations that work, at least in the context of Rwanda: performance pay, the establishment of community health workers, and increased attention to the training of health workers." @default.
• W2285650222 created "2016-06-24" @default.
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• W2285650222 date "2008-09-01" @default.
• W2285650222 modified "2023-09-27" @default.
• W2285650222 title "Institutions for health care delivery : a formal exploration of what matters to health workers" @default.
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