The Ministry of Health is piloting a performance based incentives (PBI) program with support from USAID Malawi’s flagship health project, Support for Service Delivery Integration (SSDI), in order to improve the availability and uptake of services. The PBI pilot program is currently underway in three target districts. The SSDI-PBI program aims to increase access, utilization, and quality indicators across a range of health areas including maternal and child health. The SSDI-PBI pilot project is unique from other PBI projects, both in Malawi and globally, in that financial incentives are awarded exclusively to facilities upon achievement of set targets, and not to individual health workers.
Results from this study will be used by the Malawi Ministry of Health and USAID in planning the future role of PBI within quality improvement efforts. This study may also provide valuable insights for policy makers and implementers beyond Malawi as it focuses on a non-typical PBI intervention design and is therefore a unique contribution in the field.