000 01227nam a22001457a 4500
999 _c519326
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008 220225b ||||| |||| 00| 0 eng d
100 _aOkeke, Edward N.
_932279
245 _aWorking hard or hardly working: Health worker effort and health outcomes
260 _aEconomic Development and Cultural Change
300 _a70(1), Oct, 2021: p.1-40
520 _aEffort by health workers in developing countries has been the subject of much recent attention, but the implications, if any, for health outcomes have largely remained a matter of conjecture. This paper provides new empirical evidence about the returns to health worker effort. In this experiment, outpatient providers in Nigeria were assigned to an intervention in which their consultations were monitored by a peer. To elicit behavior under the counterfactual, the same group of clinicians was covertly observed. Exploiting the sharp increase in effort induced by peer monitoring, I document large, positive, and statistically significant improvements in health. These findings shed new light on potential gains from incentivizing health worker effort. – Reproduced
773 _aEconomic Development and Cultural Change
906 _aLABORS
942 _cAR