Table 4 Potential for performance-based incentives (PBIs) to address barriers to health workers’ delivery of prevention of vertical transmission of HIV services by ecological motivation-opportunity-ability factors
Construct | Potential for PBIs |
|---|---|
Motivation | |
Health worker factors | |
Intrinsic motivation | Limited |
Extrinsic motivation | Limited |
Opportunity | |
Patient factors | |
Patients circumventing care | Very limited |
Work mandate factors | |
Referral system | Yes |
Record system | Yes |
Work environment | |
Over-burdened | Limited |
Supplies | Limited |
Infrastructure | Limited |
Distance | Very limited |
Administrative environment | |
PVT planning and program coordination | Yes |
Foreign donors | Unclear |
Ability | |
Health worker factors | |
Health worker approach to patient interactions | Limited |
Work environment | |
Training | Yes |
Supervision | Yes |
Collaboration with other cadres | Yes |
Professional community | Yes |