Table 1
Performance-based incentives stipend amounts.
| Incentive item | Stipend | |
|---|---|---|
| Ugandan shillings | US dollars | |
| Acute illness | ||
| Doctor bag used correctly | 1500 | $0.44 |
| Identification of new patients | ||
| Malnourished child | 3000 | $0.87 |
| Treatable disability | 3000 | $0.87 |
| Pregnancy identified and delivery plan developed | 2000 | $0.58 |
| Chronic disease (hypertension, epilepsy, diabetes, heart failure, asthma, tuberculosis, HIV) | 2000 | $0.58 |
| Mental illness | 2000 | $0.58 |
| Domestic violence | 1000 | $0.29 |
| Recent birth | 800 | $0.23 |
| “Difficult home” (child abuse, immunization refusal, other family problems) | 500 | $0.15 |
| Referrals/follow up visits | ||
| Malnourished child weighed and food delivered (malnutrition cycle) | 5000 | $1.46 |
| Follow up of recent hospital discharge | 1000 | $0.29 |
| Chronic disease encounter through “CDcom” | 1000 | $0.29 |
| Family planning referral | 1500 | $0.44 |
| Antenatal care referral | 1000 | $0.29 |
| Cervical cancer screening referral | 1000 | $0.29 |
| Immunization referral | 1000 | $0.29 |
| High risk chronic disease follow up visit | 200 | $0.06 |
| Home talk presentation | 500 | $0.15 |
Table 2
Program costs over one year.
| Item | Cost ($) | |
|---|---|---|
| Administration | $1,336 | |
| Percentage of administrator’s salary according to percentage of time dedicated to the VHW program | ||
| Transportation | $1,473 | |
| Up-front cost of 10 motorcycles divided by an expected lifetime of 10 years, motorcycle maintenance, fuel, and transportation vouchers | ||
| Supervisor stipend | $8,572 | |
| Paid per diem at a level commensurate with supervisor experience | ||
| Training | $3,444 | |
| Includes cost of initial training divided over 7 years, the average length of VHW involvement, and continued medical education | ||
| CDcom medications | $3,888 | |
| Doctor bags | $1,170 | |
| Includes the upfront cost of $100 per bag, divided by an expected lifetime of 10 years, and the cost to replenish supplies for one year | ||
| VHW stipends | $9,960 | |
| Total cost | $29,844 | |
Figure 1
Monthly real pay for VHWs with the maximum, median, and minimum earnings over 12 month period.
Figure 2
Monthly real pay for VHWs with the maximum, median, and minimum month-to-month ranges over 12 month period.
Figure 3
Health services delivered by category.
Figure 4
Total number of recent births identified by VHWs by month.
Figure 5
Delivery location of recent births identified by VHWs.
Figure 6
Total number of family planning referrals performed by VHWs by month (incentive months labeled).