What happens when donors pull out? Examining differences in motivation between health workers who recently had Performance-Based Financing (PBF) withdrawn with workers who never received PBF in the Democratic Republic of Congo
Background: A motivated workforce is necessary to ensure the delivery of high quality health services. In developing countries, performance-based financing (PBF) is often employed to increase motivation by providing financial incentives linked to performance. However, given PBF schemes are usually f...
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
13 July 2019
|
| In: |
International journal of health policy and management
Year: 2019, Jahrgang: 8, Heft: 11, Pages: 646-661 |
| ISSN: | 2322-5939 |
| DOI: | 10.15171/ijhpm.2019.55 |
| Online-Zugang: | Verlag, Volltext: https://doi.org/10.15171/ijhpm.2019.55 Verlag: http://www.ijhpm.com/article_3647.html 
|
| Verfasserangaben: | Rishma Maini, Julia Lohmann, David R. Hotchkiss, Sandra Mounier-Jack, Josephine Borghi |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1679543652 | ||
| 003 | DE-627 | ||
| 005 | 20220817010324.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 191024s2019 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.15171/ijhpm.2019.55 |2 doi | |
| 035 | |a (DE-627)1679543652 | ||
| 035 | |a (DE-599)KXP1679543652 | ||
| 035 | |a (OCoLC)1341249242 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Maini, Rishma |e VerfasserIn |0 (DE-588)1197817166 |0 (DE-627)1679544357 |4 aut | |
| 245 | 1 | 0 | |a What happens when donors pull out? Examining differences in motivation between health workers who recently had Performance-Based Financing (PBF) withdrawn with workers who never received PBF in the Democratic Republic of Congo |c Rishma Maini, Julia Lohmann, David R. Hotchkiss, Sandra Mounier-Jack, Josephine Borghi |
| 264 | 1 | |c 13 July 2019 | |
| 300 | |a 16 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 24.10.2019 | ||
| 520 | |a Background: A motivated workforce is necessary to ensure the delivery of high quality health services. In developing countries, performance-based financing (PBF) is often employed to increase motivation by providing financial incentives linked to performance. However, given PBF schemes are usually funded by donors, their long-term financing is not always assured, and the effects of withdrawing PBF on motivation are largely unknown. This cross-sectional study aimed to identify differences in motivation between workers who recently had donor-funded PBF withdrawn, with workers who had not received PBF. Methods: Quantitative data were collected from 485 health workers in 5 provinces using a structured survey containing questions on motivation which were based on an established motivation framework. Confirmatory factor analysis was used to verify dimensions of motivation, and multiple regression to assess differences in motivation scores between workers who had previously received PBF and those who never had. Qualitative interviews were also carried out in Kasai Occidental province with 16 nurses who had previously or never received PBF. Results: The results indicated that workers in facilities where PBF had been removed scored significantly lower on most dimensions of motivation compared to workers who had never received PBF. The removal of the PBF scheme was blamed for an exodus of staff due to the dramatic reduction in income, and negatively impacted on relationships between staff and the local community. Conclusion: Donors and governments unable to sustain PBF or other donor-payments should have clear exit strategies and institute measures to mitigate any adverse effects on motivation following withdrawal. | ||
| 700 | 1 | |a Lohmann, Julia |e VerfasserIn |0 (DE-588)1081326492 |0 (DE-627)845982311 |0 (DE-576)454127723 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t International journal of health policy and management |d Kerman : Kerman Univ. of Medical Sciences, 2013 |g 8(2019), 11, Seite 646-661 |h Online-Ressource |w (DE-627)752436449 |w (DE-600)2724317-5 |w (DE-576)391214683 |x 2322-5939 |7 nnas |a What happens when donors pull out? Examining differences in motivation between health workers who recently had Performance-Based Financing (PBF) withdrawn with workers who never received PBF in the Democratic Republic of Congo |
| 773 | 1 | 8 | |g volume:8 |g year:2019 |g number:11 |g pages:646-661 |g extent:16 |a What happens when donors pull out? Examining differences in motivation between health workers who recently had Performance-Based Financing (PBF) withdrawn with workers who never received PBF in the Democratic Republic of Congo |
| 856 | 4 | 0 | |u https://doi.org/10.15171/ijhpm.2019.55 |x Verlag |x Resolving-System |3 Volltext |
| 856 | 4 | 0 | |u http://www.ijhpm.com/article_3647.html |x Verlag |
| 951 | |a AR | ||
| 992 | |a 20191024 | ||
| 993 | |a Article | ||
| 994 | |a 2019 | ||
| 998 | |g 1081326492 |a Lohmann, Julia |m 1081326492:Lohmann, Julia |d 910000 |d 912800 |e 910000PL1081326492 |e 912800PL1081326492 |k 0/910000/ |k 1/910000/912800/ |p 2 | ||
| 999 | |a KXP-PPN1679543652 |e 3526636419 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"physDesc":[{"extent":"16 S."}],"relHost":[{"id":{"issn":["2322-5939"],"zdb":["2724317-5"],"eki":["752436449"]},"origin":[{"publisherPlace":"Kerman","dateIssuedDisp":"2013-","publisher":"Kerman Univ. of Medical Sciences","dateIssuedKey":"2013"}],"physDesc":[{"extent":"Online-Ressource"}],"title":[{"title":"International journal of health policy and management","title_sort":"International journal of health policy and management"}],"recId":"752436449","language":["eng"],"disp":"What happens when donors pull out? Examining differences in motivation between health workers who recently had Performance-Based Financing (PBF) withdrawn with workers who never received PBF in the Democratic Republic of CongoInternational journal of health policy and management","type":{"bibl":"periodical","media":"Online-Ressource"},"note":["Gesehen am 11.07.13"],"titleAlt":[{"title":"IJHPM"}],"part":{"year":"2019","issue":"11","pages":"646-661","volume":"8","text":"8(2019), 11, Seite 646-661","extent":"16"},"pubHistory":["1.2013 -"]}],"name":{"displayForm":["Rishma Maini, Julia Lohmann, David R. Hotchkiss, Sandra Mounier-Jack, Josephine Borghi"]},"origin":[{"dateIssuedKey":"2019","dateIssuedDisp":"13 July 2019"}],"id":{"eki":["1679543652"],"doi":["10.15171/ijhpm.2019.55"]},"note":["Gesehen am 24.10.2019"],"type":{"media":"Online-Ressource","bibl":"article-journal"},"recId":"1679543652","language":["eng"],"person":[{"roleDisplay":"VerfasserIn","display":"Maini, Rishma","role":"aut","family":"Maini","given":"Rishma"},{"role":"aut","display":"Lohmann, Julia","roleDisplay":"VerfasserIn","given":"Julia","family":"Lohmann"}],"title":[{"title_sort":"What happens when donors pull out? Examining differences in motivation between health workers who recently had Performance-Based Financing (PBF) withdrawn with workers who never received PBF in the Democratic Republic of Congo","title":"What happens when donors pull out? Examining differences in motivation between health workers who recently had Performance-Based Financing (PBF) withdrawn with workers who never received PBF in the Democratic Republic of Congo"}]} | ||
| SRT | |a MAINIRISHMWHATHAPPEN1320 | ||