Performance pay and information: Reducing child undernutrition in India

Singh, Prakarsh

doi:10.1016/j.jebo.2015.01.008

Cited by 33 publications

(46 citation statements)

References 46 publications

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“…The trial reported in this study builds on Singh (2015), continuing a series of trials designed to inform performance pay in the ICDS system in India. Related research concerns the use of tournamenttype contests among Anganwadi workers in ICDS centers, the specific kinds of effort that workers use to achieve children's weight gain, and complementarity or substitution between what they provide and children's diets or care practices at home.…”

Section: Resultsmentioning

confidence: 99%

“…Here we provide incentives to health workers based on client outcomes, targeting weight-for-age malnutrition among children attending urban day care centers in Chandigarh, India. The trial builds on Singh (2015Singh ( , 2016, in collaboration with local health authorities to improve services in an urban area where about 40% of children are clinically underweight.…”

mentioning

confidence: 99%

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Impact of Caregiver Incentives on Child Health: Evidence from an Experiment with Anganwadi Workers in India

Singh

Masters

2016

SSRN Journal

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a b s t r a c tThis paper tests the effectiveness of performance pay and bonuses among government childcare workers in India. In a controlled study of 160 ICDS centers serving over 4000 children, we randomly assign workers to either fixed bonuses or payments based on the nutritional status of children in their care, and also collect data from a control group receiving only standard salaries. In all three study arms mothers receive nutrition information. We find that performance pay reduces underweight prevalence by about 5 percentage points over 3 months, and height improves by about one centimeter. Impacts on weight continue when incentives are renewed and return to parallel trends thereafter. Fixed bonuses are less expensive but lead to smaller and less precisely estimated effects than performance pay, especially for children near malnutrition thresholds. Both treatments improve worker effort and communication with mothers, who in turn feed a more calorific diet to children at home.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Impact of Caregiver Incentives on Child Health: Evidence from an Experiment with Anganwadi Workers in India

Singh

Masters

2016

SSRN Journal

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“…Según Miller y Singer (14) , su aplicación a los sistemas de salud a los países de ingreso medio y bajo se ha extendido durante los últimos quince años. En América Latina, Argentina (12) y Nicaragua (15) han implementado esquemas para mejorar la calidad y acceso de servicios de salud materno infantil, y a nivel mundial, en Ruanda (13) , China (16) India (17) , entre otros.…”

Section: Holmstrom Y Milgronunclassified

Pagos por desempeño para mejorar estado nutricional infantil: impacto de los convenios de apoyo presupuestario en tres regiones peruanas con alta prevalencia de desnutrición cronica infantil, 2010-2014

Vega

2017

Rev Peru Med Exp Salud Publica

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Citar como: Cruzado de la Vega V. Pagos por desempeño para mejorar estado nutricional infantil: impacto de los convenios de apoyo presupuestario en tres regiones peruanas con alta prevalencia de desnutrición cronica infantil, [2010][2011][2012][2013][2014] RESUMENObjetivos. Estimar el impacto de un esquema de pago por desempeño, denominado convenios de apoyo presupuestario, aplicado por el Gobierno a las tres regiones con mayores tasas de desnutrición crónica infantil (DCI) en 2008, Apurimac, Ayacucho y Huancavelica, sobre indicadores de cobertura de servicios de cuidado infantil (vacunación, controles de crecimiento y desarrollo infantil, suplemento de hierro) y del estado nutricional del niño (desnutrición, anemia, diarrea). Mediante estos convenios se transferían recursos a los presupuestos de dichas regiones condicionados al cumplimiento de compromisos de gestión y metas de cobertura con el objetivo de mejorar el estado nutricional infantil. Materiales y métodos. A partir de los datos de la Encuesta Demográfica y de Salud Familiar de 2008 a 2014, se compara la evolución en los indicadores evaluados de una muestra de niños que residen en los ámbitos donde se suscribieron los convenios y una muestra de control, mientras los convenios estuvieron vigentes y en los años posteriores para reportar el estimador de diferencias en diferencias del impacto promedio de los convenios Resultados. se encuentran impactos positivos sobre el incremento de coberturas de vacunas del esquema básico y de la vacuna rotavirus y, a través de ellos, en la reducción de la ocurrencia de diarrea y desnutrición. Conclusiones. el esquema habría sido efectivo en activar la cadena mayor cobertura de vacunas y menor DCI, pero no parece mejorar la cobertura de otras prestaciones como las atenciones de crecimiento y desarrollo del niño y entrega de suplementos de hierro al niño y gestante. Palabras clave: Evaluación del impacto en la salud; Evaluación de programas y proyectos de salud; Reembolso de incentivo; Salud del niño; Transtornos de la nutrición del niño (fuente: DeCS BIREME). PAYMENT BY PERFORMANCE TO IMPROVE THE NUTRITIONAL STATUS OF CHILDREN: IMPACT OF BUDGET SUPPORT AGREEMENTS IN THREE PERUVIAN REGIONS WITH A HIGH PREVALENCE OF CHRONIC MALNUTRITION IN CHILDREN IN 2010-2014 ABSTRACTTo estimate the impact of a payment scheme by performance, known as a budget support agreement, applied by the government in three regions in Peru with the highest rates of chronic malnutrition (CM) in children in 2008-Apurimac, Ayacucho, and Huancavelica-on indicators of health service coverage (immunization, childhood growth and development, and iron supplementation) and the nutritional status of children (malnutrition, anemia, and diarrhea). These agreements were used to transfer resources to the budgets of these regions with the condition of fulfilling management commitments and coverage goals with a view toward improving the nutritional status of children. Materials and methods. Based on data from the Demographic and Family Health Survey conducted fro...

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“…The kind of disease such as diarrhoea, fever, cough and cold with the onset was 2-4 days during the study. [17][18][19] While getting sickness, the appetite felt and got worst, thus although the supplementation was consumed but that energy and protein intake were not adequate yet to gain body weight.…”

Section: Increase Of Z Score Value and The Difference Of Z Score Of Bmentioning

confidence: 99%

The influence of supplementary feeding by local food and 123 milk toward increasing the nutritional status of 12-24 months children with undernutrition status in southeast Sulawesi province, Indonesia

et al. 2015

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Background: Until now, the case of energy protein malnutrition in children is still high in Indonesia. Kendari city, one of the areas in Indonesia with high prevalent of this disease, has a significant increase which risen from 9.2% in 2006 to 15.1% in 2007. Methods: This was an experimental study that was under taken for 30 days. Sample of research was undernutrition children 12-24 months age that came from Puskesmas Puuwatu area and Perumnas in Kendari City that collected by simple random sampling technique. 16 children under five in the Puskesmas Puuwatu area received local food intervention and 16 children in the area of Puskesmas Perumnas received 123 Milk intervention. Results: There was significant difference in the Mean of body weight differences before and after intervention between children group that was given Local food and 123 Milk (p=0,032. Analysis with using paired t test indicated the differences between Z-Score value with BW/A and BW/H index before and after treatment in the children group that received local food intervention (p=0,000). In the children group that received 123 Milk intervention, the analysis result of Z-Score value with BW/A index before and after intervention indicated that there was not any significant difference (p=0,084), while the analysis of Z-Score value of BW/H index before and after intervention indicated the existence of significant different (p=0,000). The analysis that used independent t test did not indicated the significant difference of Z-Score value with BW/A and BW/H index after the intervention between children group that received Local food and 123 Milk intervention. Independent t-test analysis toward difference Mean of Z-score value with BW/A index indicated that there was significant difference between children group that received Local food and 123 Milk intervention (p=0,025). Analysis result toward difference Mean of Z-Score value with BW/H indicated the existence of significant difference between two group of intervention (p=0,028). Conclusions: Supplementary feeding by local food has better result in the increasing of body weight and Z-Score value than the giving of 123 Milk.

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Performance pay and information: Reducing child undernutrition in India

Cited by 33 publications

References 46 publications

Impact of Caregiver Incentives on Child Health: Evidence from an Experiment with Anganwadi Workers in India

Impact of Caregiver Incentives on Child Health: Evidence from an Experiment with Anganwadi Workers in India

Pagos por desempeño para mejorar estado nutricional infantil: impacto de los convenios de apoyo presupuestario en tres regiones peruanas con alta prevalencia de desnutrición cronica infantil, 2010-2014

The influence of supplementary feeding by local food and 123 milk toward increasing the nutritional status of 12-24 months children with undernutrition status in southeast Sulawesi province, Indonesia

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