Navigation Links
Financial incentives may hold key to cutting child malaria deaths

Giving small financial incentives to health workers in low-income countries may hold the key to reducing the huge death toll from malaria in young children, according to a study published on today.

This paper has been selected by an expert panel as one of eight of the most outstanding articles to address critical issues of global health research and policy and will be presented at the launch of the global theme issue at the US National Institutes of Health in Washington on Monday 22 October 2007.

The study was conducted on the childrens ward at the national hospital in Guinea-Bisaau with poor conditions, no direct access to medical drugs, and poorly paid, unmotivated workers. In 2004, 12% of deaths (case fatalities) on the ward were due to malaria.

Staff training alone is not a solution, so researchers evaluated whether training, together with availability of drugs and small financial incentives, could save lives.

Before the study began, all personnel were trained in the use of standardised malaria case management guidelines. Both nurses and physicians were randomised to work on the intervention or the control ward. Personnel working on the intervention ward received a small financial incentive ($50/month) and their compliance with the guidelines was closely monitored.

At the start of the study, 951 children aged three months to five years who were admitted to hospital with a diagnosis of malaria were randomised to the intervention or control wards and a 28 day follow-up visit was arranged.

Case fatality was 5% for the intervention group and 10% in the control group, so effectively the intervention halved the case fatality among children.

These findings show that the quality of care in the paediatric ward depends not only on training and availability of drugs, but also on financial incentives adequate to allow staff to work fully and efficiently in the hospital, say the authors.

The results of this study are likely to be directly relevant in other national and district hospitals in developing countries facing the same conditions and problems. Although it is against the policy of most donors to give salary top-ups, this study provides powerful evidence that that policy should change, they conclude.


Contact: Emma Dickinson
BMJ-British Medical Journal

Related medicine news :

1. Financial Allowances Being Offered To Poor Vietnamese HIV Carriers
2. NHS Audit Commission Warns Possible Financial Collapse In Sussex And Surrey
3. Health conditions and patient treatment affected by a financial crunch
4. NHS financial crisis may lead to roll back of flexi-work scheme and private acquisition
5. Bird Flu: Fear of the Unknown Could Put Financial Markets in a Soup
6. Huge financial losses due to Bird flu scare!
7. Sexual Health Service Is Under Pressure and Faced With Financial Challenges
8. Elective Surgery - the Financial Whipping Boy
9. British Hospitals Face Financial Crisis
10. Kidney donors do not realize financial gains
11. Bird-Flu Pandemic will be a Huge Financial Drain, says World Bank
Post Your Comments:
(Date:11/30/2015)... ... 30, 2015 , ... The recently published 32nd Annual Report ... reveals that in 2014, someone called a poison center about every 11 seconds. ... were human exposure cases. , The American Association of Poison Control Centers (AAPCC) ...
(Date:11/30/2015)... ... November 30, 2015 , ... ... as their exclusive channel partner for the Nutraceutical Specialties products into oral solid ... US, effective immediately. , “We are pleased to announce our expanded distribution ...
(Date:11/30/2015)... Ill. (PRWEB) , ... November 30, 2015 , ... ... Decision Support Solutions, announced at the Radiology Society of North America (RSNA) annual ... have seen over 60% growth from 2014. Throughout 2015, the company has ...
(Date:11/30/2015)... , ... November 30, 2015 , ... ... – Kreithen”), one of the leading plastic surgery practices in Florida, is proud ... chosen to consult for surgical innovations giant Ethicon Inc., a Johnson & Johnson ...
(Date:11/30/2015)... ... November 30, 2015 , ... Insightra Medical, ... Matrix Surgical Mesh technology for soft tissue repair in the US via Insightra’s ... long-term resorbable surgical mesh intended to support and reinforce soft tissue for 6-9 ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... Booth #4303 – The Imaging Components business of ... broader array of products in a new booth (#4303) at ... North America in Chicago ... X-ray components "At the Heart of Imaging." Products will include ... Varian,s Claymount brand, and computer-aided diagnostic software from MeVis as ...
(Date:11/30/2015)... Wash. , Nov. 30, 2015  Precision ... Post-Processing services, is pleased to announce a dramatic ... medical imaging services. Building on its ISO-9001:2008 certification ... and implemented comprehensive Core Lab protocols and procedures. ... variety of research activities.  Their Core Lab services ...
(Date:11/30/2015)... SHELTON, Connecticut , November 30, 2015 ... Kentucky Breast Care has entered into a ... women,s healthcare practice. This will allow Kentucky Breast Care ... and offer exceptional care for their patients. ... Kentucky Breast Care has entered into a ...
Breaking Medicine Technology: