Trial reportJournal of health economics2017
Impact of caregiver incentives on child health: Evidence from an experiment with Anganwadi workers in India.
Trial report in Journal of health economics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
5 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Performance-based incentives and community health workers' outputs, a systematic review.Bulletin of the World Health Organization · 2021Pooled it
- How are pay-for-performance schemes in healthcare designed in low- and middle-income countries? Typology and systematic literature review.BMC health services research · 2020Pooled it
- Anganwadi worker time use in Madhya Pradesh, India: a cross-sectional study.BMC health services research · 2020Article
- Performance bonuses in the public sector: Winner-take-all prizes versus proportional payments to reduce child malnutrition in India.Journal of development economics · 2020Article
- Changes in Child Nutrition in India: A Decomposition Approach.International journal of environmental research and public health · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This 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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Registered trials
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