Health Workers' Incentives in South Sudan (IMCHA)
South Sudan has some of the worst health indicators in the world. This project will seek to address the problem by improving community health-worker motivation and performance. This, in turn, will help improve maternal and child health outcomes.
Access to health care in South Sudan
Fifty-five percent of South Sudanese live beyond walking distance to a health clinic. Poverty, limited infrastructure, lack of health information, severe shortages of health personnel, and lack of up-to-date standards of practice are seriously compromising healthcare services.
The Ministry of Health and BRAC South Sudan (a non-governmental organization) are using the support of community health workers to address the gap and extend existing health interventions to underserved communities. There is a need to improve the performance of the country's 3,000 community health workers and to sustain their services using approaches that work.
Reducing deaths, improving health
This project will provide information on sustainable methods of delivering community-based primary healthcare services in emergency settings. The project team will examine non-financial incentives that will help improve the performance of community health workers.
The study's first phase includes analyzing a qualitative evaluation of existing community health-worker programs in South Sudan and other BRAC-supported countries (Uganda, Sierra Leone, and Liberia). During the second phase, a randomized controlled trial will assess whether non-financial incentives are effective enough to sustain support of community health workers in South Sudan.
The findings from this project will address gaps in knowledge for cost-effective measures, such as non-financial incentives, to improve access to health care for mothers and children in high conflict contexts. The results will directly inform, strengthen, and scale community health-worker program efforts implemented by BRAC and the Ministry of Health in South Sudan. The research team will share its findings through scientific publications and presentations.
This project is part of the Innovating for Maternal and Child Health in Africa program. The program is a seven-year $36 million initiative funded by Foreign Affairs, Trade and Development Canada (DFATD), Canada's International Development Research Centre (IDRC), and the Canadian Institutes of Health Research (CIHR).