Abstract: High staff attrition leads to volatile and poor staffing levels in health facilities of rural areas. Economic theory offers ambiguous predictions on how incentives can affect retention due to their effects on image motivation and social norms. We study how monetary and non-monetary incentives affect midwife retention in rural health facilities using a nationwide experiment implemented by the Nigerian government. Using a collection of lab-in-the-field games, we find that monetary incentives positively shifts the social norms of retention, whilst non-monetary (and visible) incentives crowd out image motivation along the lines of Benabou and Tirole (2006). the net effect is that, in average, monetary incentives improved midwife retention, non-monetary incentives had no discernible effects, and their combination behaved as monetary incentives alone.
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Start: 2/9/2017 12:00:00 PM
End: 2/9/2017 2:00:00 PM