Coming Full Circle

How Health Worker Motivation and Performance in Results-Based Financing Arrangements Hinges on Strong and Adaptive Health Systems


Sumit Kane, Crecentia Gandidzanwa , Ronald Mutasa , Irene Moyo , Chenjerai Sisimayi , Patron Mafaune , Marjolein Dieleman

This paper presents findings from a study which sought to understand why health workers working under the results-based financing (RBF) arrangements in Zimbabwe reported being satisfied with the improvements in working conditions and compensation, but paradoxically reported lower motivation levels compared to those not working under RBF arrangements.