Table 1.
Summary of performance-based incentive system
| Incentive item |
Amount |
|
|---|---|---|
| Ugandan shillings | Dollars1 | |
|
Routine visits |
|
|
| Visit to patient with acute illness or recent discharge from hospital |
500 |
$0.25 |
| Medication delivery to chronic disease patient |
500 |
$0.25 |
| Annual family information form completed |
400 |
$0.20 |
| Monthly follow-up visit |
300 |
$0.15 |
|
Identification of new patients |
|
|
| Chronic disease patient identified |
1,000 |
$0.50 |
| Pregnant woman identified and counseled |
1,000 |
$0.50 |
| Neonate identified and visited |
500 |
$0.25 |
| Malnourished child identified and referred |
1,000 |
$0.50 |
| Disabled child identified and referred |
1,000 |
$0.50 |
| Death identified and family counseled |
500 |
$0.25 |
| ‘Difficult home’ identified2 |
500 |
$0.25 |
| Sanitation risk identified (i.e., home with very poor sanitation) |
500 |
$0.25 |
|
Sanitation facilities |
|
|
| New latrine or kitchen constructed in village |
2,000 |
$1.00 |
| New bath shelter, compost pit, or drying rack constructed |
1,000 |
$0.50 |
|
Visits completed by patients (referral and accompaniment) | ||
| Family planning visit |
1,000 |
$0.50 |
| Cervical cancer screening visit |
1,000 |
$0.50 |
| Antenatal care visit |
500 |
$0.25 |
| Child immunization visit |
500 |
$0.25 |
|
Health education |
|
|
| Community talk ≤15 attendees |
1,000 |
$0.50 |
| Community talk >15 attendees |
2,000 |
$1.00 |
| Talk with staff member observing |
3,000 |
$1.50 |
| Attendance at ‘nutrition day’ (malnutrition management outreach) | 1,500 | $0.75 |
1Based on an exchange rate of 2,000 shillings to $1, the approximate exchange rate when the scheme was designed in early 2010.
2‘Difficult home’ refers to domestic violence, child abuse, immunization refusal, or other family problem. It mainly serves as a euphemism for domestic violence or child abuse.