Featured Research

from universities, journals, and other organizations

Financial Incentives May Hold Key To Cutting Child Malaria Deaths

Date:
October 25, 2007
Source:
BMJ-British Medical Journal
Summary:
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 new article. Staff training alone is not a solution, so researchers evaluated whether training, together with availability of drugs and small financial incentives, could save lives.

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 the British Medical Journal website, bmj.com.

The study was conducted on the children's 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.

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.


Story Source:

The above story is based on materials provided by BMJ-British Medical Journal. Note: Materials may be edited for content and length.


Cite This Page:

BMJ-British Medical Journal. "Financial Incentives May Hold Key To Cutting Child Malaria Deaths." ScienceDaily. ScienceDaily, 25 October 2007. <www.sciencedaily.com/releases/2007/10/071023095122.htm>.
BMJ-British Medical Journal. (2007, October 25). Financial Incentives May Hold Key To Cutting Child Malaria Deaths. ScienceDaily. Retrieved September 3, 2014 from www.sciencedaily.com/releases/2007/10/071023095122.htm
BMJ-British Medical Journal. "Financial Incentives May Hold Key To Cutting Child Malaria Deaths." ScienceDaily. www.sciencedaily.com/releases/2007/10/071023095122.htm (accessed September 3, 2014).

Share This



More Health & Medicine News

Wednesday, September 3, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Snack Attack: Study Says Action Movies Make You Snack More

Snack Attack: Study Says Action Movies Make You Snack More

Newsy (Sep. 2, 2014) You're more likely to gain weight while watching action flicks than you are watching other types of programming, says a new study published in JAMA. Video provided by Newsy
Powered by NewsLook.com
U.N. Says Ebola Travel Restrictions Will Cause Food Shortage

U.N. Says Ebola Travel Restrictions Will Cause Food Shortage

Newsy (Sep. 2, 2014) The U.N. says the problem is two-fold — quarantine zones and travel restrictions are limiting the movement of both people and food. Video provided by Newsy
Powered by NewsLook.com
Doctors Fear They're Losing Battle Against Ebola

Doctors Fear They're Losing Battle Against Ebola

AP (Sep. 2, 2014) As a third American missionary is confirmed to have contracted Ebola in Liberia, doctors on the ground in West Africa fear they're losing the battle against the outbreak. (Sept. 2) Video provided by AP
Powered by NewsLook.com
Tech Giants Bet on 3D Headsets for Gaming, Healthcare

Tech Giants Bet on 3D Headsets for Gaming, Healthcare

AFP (Sep. 2, 2014) When Facebook acquired the virtual reality hardware developer Oculus VR in March for $2 billion, CEO Mark Zuckerberg hailed the firm's technology as "a new communication platform." Duration: 02:24 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins