Fracchia, M., Molina-Millán, T. & P.C. Vicente
Journal of Development Economics – (2023) Vol 163

Keywords: Non-financial incentives, Motivation, Community Health Workers, Social status, Task significance, Guinea-Bissau, Africa

Abstract: Community Health Workers (CHWs) are central to health systems. Still, they are typically unpaid volunteers in Sub-Saharan Africa. This paper follows all the CHWs in the capital city of Guinea-Bissau, who are non-salaried, and tests the impact of non-financial incentives on health indicators. We analyze two randomized interventions for CHWs: (i) an honorific award aimed at raising their social status; (ii) a video treatment aimed at increasing their perceived task significance. While employing
administrative and survey data, we find that the social status intervention, differently from the task significance one, causes clear improvements in household health, particularly for young children.