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Impact of caregiver incentives on child health: evidence from an experiment with Anganwadi workers in India

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  • Prakarsh Singh
  • William A. Masters

Abstract

This paper provides evidence for the effectiveness of performance pay among government caregivers to improve child health in India. In a controlled study of 160 daycare centers serving over 4000 children, we randomly assign workers to receive performance pay or fixed bonuses of roughly similar expected value, and test for differences in malnutrition among the children in their care. We find that performance pay reduces the prevalence of weight-for-age malnutrition by about 5 percentage points in 3 months. This effect is sustained in the medium term with a renewal of incentives but the differential growth rate fades away once the scheme is discontinued. Fixed bonuses lead to smaller-sized effects and only in the medium-term. Both treatments appear to improve worker effort and communication with mothers, who in turn feed a more calorific diet to their children at home.

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  • Prakarsh Singh & William A. Masters, 2016. "Impact of caregiver incentives on child health: evidence from an experiment with Anganwadi workers in India," NCID Working Papers 01/2016, Navarra Center for International Development, University of Navarra.
    • Handle: RePEc:nva:unnvaa:wp01-2016
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    Cited by:

    1. Singh, Prakarsh & Mitra, Sandip, 2017. "Incentives, information and malnutrition: Evidence from an experiment in India," European Economic Review, Elsevier, vol. 93(C), pages 24-46.
    2. Cason, Timothy N. & Masters, William A. & Sheremeta, Roman M., 2020. "Winner-take-all and proportional-prize contests: Theory and experimental results," Journal of Economic Behavior & Organization, Elsevier, vol. 175(C), pages 314-327.
    3. Singh, Neha S. & Kovacs, Roxanne J. & Cassidy, Rachel & Kristensen, Søren R. & Borghi, Josephine & Brown, Garrett W., 2021. "A realist review to assess for whom, under what conditions and how pay for performance programmes work in low- and middle-income countries," Social Science & Medicine, Elsevier, vol. 270(C).
    4. Dasgupta, Utteeyo & Mani, Subha & Singh, Prakarsh, 2016. "Searching for Religious Discrimination among Anganwadi Workers in India: An Experimental Investigation," IZA Discussion Papers 10048, Institute of Labor Economics (IZA).
    5. Peng Nie & Anu Rammohan & Wencke Gwozdz & Alfonso Sousa-Poza, 2019. "Changes in Child Nutrition in India: A Decomposition Approach," IJERPH, MDPI, vol. 16(10), pages 1-22, May.
    6. Dasgupta, Utteeyo & Mani, Subha & Singh, Prakarsh, 2016. "Searching for Religious Discrimination among Anganwadi Workers in India: An Experimental Investigation," IZA Discussion Papers 10048, Institute of Labor Economics (IZA).
    7. Asadi-Aliabadi, Mehran & Karimi, Seyed M & Tehrani-Banihashemi, Arash & Mirbaha-Hashemi, Fariba & Janani, Leila & Babaee, Ebrahim & Nojomi, Marzieh & Moradi-Lakeh, Maziar, 2022. "Effectiveness of pay for performance to non-physician health care providers: A systematic review," Health Policy, Elsevier, vol. 126(7), pages 592-602.
    8. Utteeyo Dasgupta & Subha Mani & Prakarsh Singh, 2020. "Searching for religious discrimination among childcare workers," Review of Development Economics, Wiley Blackwell, vol. 24(2), pages 362-382, May.
    9. Singh, Prakarsh & Masters, William A., 2020. "Performance bonuses in the public sector: Winner-take-all prizes versus proportional payments to reduce child malnutrition in India," Journal of Development Economics, Elsevier, vol. 146(C).
    10. Travova, Ekaterina, 2023. "Under pressure? Performance evaluation of police officers as an incentive to cheat," Journal of Economic Behavior & Organization, Elsevier, vol. 212(C), pages 1143-1172.
    11. Jagatabandhu Mohapatra & Ranjit Kumar Dehury & Parthsaratathi Dehury & Ranjan Pattnaik, 2021. "The Functions of Integrated Child Development Services (ICDS): An Assessment of Existing Policy and Practice in Odisha," Journal of Development Policy and Practice, , vol. 6(2), pages 231-251, July.
    12. Khemani,Stuti & Chaudhary,Sarang & Scot,Thiago, 2020. "Strengthening Public Health Systems : Policy Ideas from a Governance Perspective," Policy Research Working Paper Series 9220, The World Bank.

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    More about this item

    Keywords

    Performance pay; public health information; child malnutrition;
    All these keywords.

    JEL classification:

    • O1 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development
    • I1 - Health, Education, and Welfare - - Health
    • M5 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Personnel Economics

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