Community Health Workers in Zambia: Incentive Design and Management

Posted: 18 Feb 2012

See all articles by Nava Ashraf

Nava Ashraf

Harvard University - Business School (HBS)

Natalie Kindred

Harvard Business School

Date Written: January 19, 2011

Abstract

This case examines the various considerations relevant to selecting and compensating workers in a context where their work involves a pro-social component. This is relevant to not only health care in Zambia, but to NGO and public sector workers who are both motivated by the mission of their positions and the remuneration. Zambia was facing a healthcare human resource crisis with less than half of the healthcare workers needed to meet health needs. Yet, it was simultaneously burdened by high incidence of diseases such as HIV/AIDS, TB, malaria, malnutrition, and respiratory and diarrheal diseases. The Zambian Ministry of Health (MoH) realized that in the short term, it would be impossible to train the number of doctors and nurses needed to fill this gap. Thus, they were considering incorporating the primarily volunteer community health worker (CHW) force into salaried health workers of the MoH. Given the high level of personal commitment and dedication combined with the proper education and skill needed to be an effective community health worker, the MoH was struggling to identify the best strategy to recruit and retain motivated and capable CHWs.

Learning Objective: The purpose of this case is to explore how to best recruit and compensate individuals that are hired for a task with a pro-social component. Various incentive schemes and their potential effects on selection and motivation are examined.

Suggested Citation

Ashraf, Nava and Kindred, Natalie, Community Health Workers in Zambia: Incentive Design and Management (January 19, 2011). Harvard Business School NOM Unit Case No. 910-030, Available at SSRN: https://ssrn.com/abstract=2006628

Nava Ashraf (Contact Author)

Harvard University - Business School (HBS) ( email )

Soldiers Field Road
Morgan 270C
Boston, MA 02163
United States
617-495-5058 (Phone)
617-496-4191 (Fax)

Natalie Kindred

Harvard Business School ( email )

Soldiers Field Road
Morgan 270C
Boston, MA 02163
United States

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