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Table 1 Summary of performance-based incentive system

From: A process evaluation of performance-based incentives for village health workers in Kisoro district, Uganda

Incentive item

Amount

Ugandan shillings

Dollars1

Routine visits

  

Visit to patient with acute illness or recent discharge from hospital

500

$0.25

Medication delivery to chronic disease patient

500

$0.25

Annual family information form completed

400

$0.20

Monthly follow-up visit

300

$0.15

Identification of new patients

  

Chronic disease patient identified

1,000

$0.50

Pregnant woman identified and counseled

1,000

$0.50

Neonate identified and visited

500

$0.25

Malnourished child identified and referred

1,000

$0.50

Disabled child identified and referred

1,000

$0.50

Death identified and family counseled

500

$0.25

‘Difficult home’ identified2

500

$0.25

Sanitation risk identified (i.e., home with very poor sanitation)

500

$0.25

Sanitation facilities

  

New latrine or kitchen constructed in village

2,000

$1.00

New bath shelter, compost pit, or drying rack constructed

1,000

$0.50

Visits completed by patients (referral and accompaniment)

Family planning visit

1,000

$0.50

Cervical cancer screening visit

1,000

$0.50

Antenatal care visit

500

$0.25

Child immunization visit

500

$0.25

Health education

  

Community talk ≤15 attendees

1,000

$0.50

Community talk >15 attendees

2,000

$1.00

Talk with staff member observing

3,000

$1.50

Attendance at ‘nutrition day’ (malnutrition management outreach)

1,500

$0.75

  1. 1Based on an exchange rate of 2,000 shillings to $1, the approximate exchange rate when the scheme was designed in early 2010.
  2. 2‘Difficult home’ refers to domestic violence, child abuse, immunization refusal, or other family problem. It mainly serves as a euphemism for domestic violence or child abuse.