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Project Description

Summary:  View help for Summary Why do health facilities in developing countries do so poorly? This paper examines the role of financial constraints. I describe an experiment in which we surprised health workers in randomly selected public health clinics in Nigeria with a N600,000 grant paid out in installments over one year. Its administration was left entirely to health workers. I show that the award led to large productivity gains. Using expenditure data combined with novel textual data I provide an explanation for these effects. I show that the award increased investments in physical and human capital, led to lower prices for patients and inspired health workers to do better.

Scope of Project

Subject Terms:  View help for Subject Terms grants; health care facilities; productivity; quality; health care delivery
JEL Classification:  View help for JEL Classification
      I11 Analysis of Health Care Markets
      I15 Health and Economic Development
Geographic Coverage:  View help for Geographic Coverage Nigeria
Data Type(s):  View help for Data Type(s) administrative records data; experimental data; observational data; survey data; text


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