There is growing interest on the impact of performance-based financing (PBF) on health workers’ motivation and performance. However, the literature so far tends to look at PBF payments in isolation, without reference to the overall remuneration of health workers. Taking the case of Sierra Leone, where PBF was introduced in 2011, this study investigates the absolute and relative contribution of PBF to health workers’ income and explores their views on PBF bonuses, in comparison to and interaction with other incomes.
This research is funded under the Department for International Development’s ReBUILD Programme which is led by the Liverpool School of Tropical Medicine
Maria Paola Bertone, Mylene Lagarde, Sophie Witter. Performance-based financing in the context of the complex remuneration of health workers: findings from a mixed-method study in rural Sierra Leone. BMC Health Services Research. 2016; 16: 286.