Using Performance Incentives to Improve Health Outcomes

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dc.contributor.author
Gertler, Paul
en_US
dc.contributor.author
Vermeersch, Christel
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dc.date.accessioned
2012-06-29T18:59:28Z
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dc.date.available
2012-06-29T18:59:28Z
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dc.date.issued
2012-06
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dc.identifier.uri
http://hdl.handle.net/10986/9316
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dc.description.abstract
This study examines the effect of performance incentives for health care providers to provide more and higher quality care in Rwanda on child health outcomes. The authors find that the incentives had a large and significant effect on the weight-for-age of children 0-11 months and on the height-for-age of children 24-49 months. They attribute this improvement to increases in the use and quality of prenatal and postnatal care. Consistent with theory, They find larger effects of incentives on services where monetary rewards and the marginal return to effort are higher. The also find that incentives reduced the gap between provider knowledge and practice of appropriate clinical procedures by 20 percent, implying a large gain in efficiency. Finally, they find evidence of a strong complementarity between performance incentives and provider skill.
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dc.language
English
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dc.language.iso
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dc.publisher
World Bank, Washington, DC
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dc.relation.ispartofseries
Policy Research Working Paper; No. 6100
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dc.rights
CC BY 3.0 Unported
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dc.rights.uri
http://creativecommons.org/licenses/by/3.0/us/
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dc.subject
ACUTE MYOCARDIAL INFARCTION
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dc.subject
AGE GROUPS
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dc.subject
ALCOHOL
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dc.subject
ALCOHOL USE
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dc.subject
ANEMIA
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dc.subject
BABY
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dc.subject
BABY CARE
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dc.subject
BLEEDING
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dc.subject
BREAST MILK
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dc.subject
BREAST-FEEDING
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dc.subject
BULLETIN
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dc.subject
CAPACITY BUILDING
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dc.subject
CASE MANAGEMENT
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dc.subject
CHILD CARE
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dc.subject
CHILD GROWTH MONITORING
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dc.subject
CHILD HEALTH
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dc.subject
CHILD HEALTH CARE
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dc.subject
CHILD HEALTH SERVICES
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dc.subject
CHILD MEDICAL CARE
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dc.subject
CHILD MORTALITY
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CHILD MORTALITY RATES
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CHILD NUTRITION
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CHRONIC MALNUTRITION
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dc.subject
CLEANLINESS
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dc.subject
CLINICAL PRACTICE
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dc.subject
CLINICAL SERVICES
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CLINICS
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dc.subject
COMMUNITY DEVELOPMENT
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dc.subject
COMMUNITY HEALTH
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dc.subject
COMMUNITY HEALTH WORKERS
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dc.subject
CONTRACEPTIVE PREVALENCE
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dc.subject
CONTRACEPTIVE USAGE
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dc.subject
CONTRACEPTIVE USERS
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dc.subject
CONTRACEPTIVES
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dc.subject
DEATHS
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dc.subject
DEVELOPING COUNTRIES
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dc.subject
DEVELOPMENT POLICY
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dc.subject
DIABETES
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dc.subject
DIAGNOSIS
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dc.subject
DIARRHEA
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dc.subject
DIET
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dc.subject
DISSEMINATION
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dc.subject
DISTRICT HOSPITAL
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dc.subject
DOCTORS
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dc.subject
DRUGS
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dc.subject
EARLY PREGNANCY
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dc.subject
EMERGENCIES
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dc.subject
ETHICAL STANDARDS
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dc.subject
EXPENDITURES
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dc.subject
FAMILIES
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dc.subject
FAMILY PLANNING
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dc.subject
FETUS
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dc.subject
FEVER
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dc.subject
FINANCIAL MANAGEMENT
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dc.subject
GENOCIDE
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dc.subject
GLOBAL HEALTH
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dc.subject
HEALTH CARE
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dc.subject
HEALTH CARE INSTITUTIONS
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dc.subject
HEALTH CARE PROVIDERS
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dc.subject
HEALTH CARE PROVISION
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dc.subject
HEALTH CARE SERVICES
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dc.subject
HEALTH CARE SYSTEM
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dc.subject
HEALTH CARE UTILIZATION
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dc.subject
HEALTH CENTERS
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dc.subject
HEALTH CLINICS
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dc.subject
HEALTH CONDITIONS
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dc.subject
HEALTH ECONOMICS
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dc.subject
HEALTH FACILITIES
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dc.subject
HEALTH FACILITY
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dc.subject
HEALTH INSURANCE
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dc.subject
HEALTH INTERVENTIONS
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dc.subject
HEALTH OUTCOMES
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dc.subject
HEALTH PROBLEMS
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dc.subject
HEALTH PROVIDERS
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dc.subject
HEALTH SECTOR
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dc.subject
HEALTH SERVICES
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dc.subject
HEALTH SERVICES RESEARCH
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dc.subject
HEALTH SYSTEM
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dc.subject
HEALTH TARGETS
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dc.subject
HEALTH WORKERS
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dc.subject
HEALTH-CARE PROVIDERS
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dc.subject
HIGH BLOOD PRESSURE
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dc.subject
HIGH-RISK
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dc.subject
HIV
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dc.subject
HOSPITAL
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dc.subject
HOSPITALS
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dc.subject
HOUSEHOLD ASSETS
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HOUSEHOLD SURVEYS
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dc.subject
HUMAN DEVELOPMENT
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dc.subject
ILLNESS
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dc.subject
ILLNESSES
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dc.subject
IMMUNIZATION
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dc.subject
IMMUNIZATIONS
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dc.subject
INCOME
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dc.subject
INDIVIDUAL CHARACTERISTICS
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dc.subject
INFANT
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INFANT MORTALITY
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dc.subject
INFANTS
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INFECTION
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INFORMATION CAMPAIGNS
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INTERVENTION
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JOURNAL OF MEDICINE
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dc.subject
LAB TESTS
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dc.subject
LABOR SUPPLY
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dc.subject
LEVELS OF KNOWLEDGE
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dc.subject
LIVE BIRTHS
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LOW BIRTH WEIGHT
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dc.subject
LOW-INCOME COUNTRIES
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dc.subject
MALARIA
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MALARIA PROPHYLAXIS
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MALNOURISHED CHILDREN
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MATERNAL AND CHILD HEALTH
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MATERNAL HEALTH
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MATERNAL HEALTH CARE
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MATERNAL HEIGHT
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MATERNAL MORTALITY
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MEDICAL CARE
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MEDICAL DOCTORS
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MEDICAL EQUIPMENT
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MEDICAL PERSONNEL
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MEDICAL PRACTICE
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MEDICAL SERVICES
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MEDICAL SUPPLIES
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MEDICAL TECHNICIANS
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MICRONUTRIENTS
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MIDWIVES
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MILLENNIUM DEVELOPMENT GOAL
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MILLENNIUM DEVELOPMENT GOALS
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MINISTRY OF HEALTH
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MISCARRIAGES
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MODERN CONTRACEPTION
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MORTALITY
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MOSQUITO NETS
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MOTHER
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MYOCARDIAL INFARCTION
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NATIONAL HEALTH
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NAUSEA
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NUMBER OF CHILDREN
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NUMBER OF WOMEN
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NURSES
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NUTRITION
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NUTRITIONAL ADVICE
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OBSTETRIC SERVICES
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OLDER CHILDREN
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OWNERSHIP OF LAND
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dc.subject
PAP SMEAR
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PATIENT
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dc.subject
PATIENTS
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PHARMACY
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PHYSICAL EXAMINATIONS
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PHYSICIAN
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PHYSICIANS
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dc.subject
POLICY DISCUSSIONS
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POLICY RESEARCH
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dc.subject
POLICY RESEARCH WORKING PAPER
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POSTNATAL CARE
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PRACTITIONERS
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PREGNANCY
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PREGNANCY STATUS
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PREGNANT WOMAN
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PREGNANT WOMEN
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PRENATAL CARE
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dc.subject
PRIMARY CARE
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PRIMARY EDUCATION
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PRIMARY HEALTH-CARE
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dc.subject
PRIMARY SCHOOL
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PROBABILITY
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PROGRESS
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PROPHYLAXIS
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PROVIDER INCENTIVES
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PROVIDER PAYMENT
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dc.subject
QUALITY CARE
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dc.subject
QUALITY CONTROL
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QUALITY IMPROVEMENT
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dc.subject
QUALITY OF CARE
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dc.subject
QUALITY OF HEALTH
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dc.subject
QUALITY OF HEALTH CARE
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QUALITY SERVICES
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RESOURCE CONSTRAINTS
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RISK PREGNANCIES
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RURAL AREAS
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SERVICE DELIVERY
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dc.subject
SEX
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SEXUALLY TRANSMITTED INFECTIONS
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dc.subject
SMEAR TEST
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dc.subject
SOCIAL AFFAIRS
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dc.subject
SOCIAL NORMS
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SOCIAL RESEARCH
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dc.subject
SOCIOECONOMIC STATUS
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dc.subject
STAGES OF LIFE
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dc.subject
SYMPTOM
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dc.subject
SYMPTOMS
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dc.subject
TETANUS
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dc.subject
TOBACCO
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dc.subject
TOBACCO USE
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dc.subject
TREATMENT
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dc.subject
TROPICAL MEDICINE
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dc.subject
TUBERCULOSIS
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dc.subject
URINE SAMPLE
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dc.subject
VACCINATION
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dc.subject
VACCINE
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dc.subject
VACCINES
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VOMITING
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dc.subject
WEIGHT GAIN
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dc.subject
WEIGHT LOSS
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dc.subject
WOMAN
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dc.subject
WORKERS
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dc.subject
WORLD HEALTH ORGANIZATION
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dc.title
Using Performance Incentives to Improve Health Outcomes
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okr.identifier.externaldocumentum
000158349_20120620172513
en_US
okr.identifier.internaldocumentum
16404683
en_US
okr.volume
1 of 1
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okr.date.disclosure
2012-06-01
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okr.topic
Health, Nutrition and Population :: Population Policies
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okr.topic
Health, Nutrition and Population :: Adolescent Health
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okr.topic
Health Monitoring and Evaluation
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okr.topic
Health Systems Development and Reform
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okr.topic
Disease Control and Prevention
en_US
okr.topic
Health, Nutrition and Population
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okr.identifier.report
WPS6100
en_US
okr.identifier.doi
10.1596/1813-9450-6100
en_US
okr.unit
Development Research Group (DECRG)
en_US
okr.doctype
Publications & Research :: Policy Research Working Paper
en_US
okr.doctype
Publications & Research
en_US
dc.rights.holder
World Bank
en_US
okr.globalpractice
Health, Nutrition, and Population
en_US
okr.googlescholar.linkpresent
yes

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