The purpose of the Performance-based Incentives Pilot Study was to develop and test a process for motivating staff and increasing performance through financial and non-financial performance awards. The study was framed around two principal objectives: to test the effects of financial and non-financial awards on healthcare worker motivation, and to examine the impact of performance-based awards on health center performance and achievement of selected health indicators. The study was organized in three phases: Phase 1, study preparation, encompassed the study design, definition of indicators, and guidelines for making awards, orientation of districts, and collection of baseline data; Phase 2, implementation, covered the period when districts implemented the performance-based incentives program; and Phase 3, analysis and reporting, included the analysis of staff motivation surveys and health center indicators. (excerpt)