The purpose of the Performance-based Incentives Pilot Study was to develop and test a process for motivating staff and increasing performance by offering rewards for position contributions within the healthcare facility. The study was framed by three primary objectives:

• To test the effects of both financial and non-financial rewards on healthcare worker motivation
• To examine the impact of performance-based rewards on overall health center performance
• To analyze the effectiveness of selected health indicators.

The study was broken down into the following three phases:

• Phase One or Study Preparation
  • Consisted of developing the study design, defining indicators, creating guidelines for receiving rewards, performing district, orientations and collecting baseline data
• Phase Two or Implementation
  • Spanned the time during which districts implemented the performance-based incentives program
• Phase Three or Analysis and Reporting
  • Included the analysis of staff motivation surveys and health center indicators.