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Performance Incentive Contracts Experience in Cambodia by the BTC supported projects
(1) The document discusses performance-based incentive contracts implemented by two Belgian-funded health projects in Cambodia to motivate health staff and increase the utilization of health services. (2) The projects set up contracts between provincial health departments, operational districts, and health centers that tied staff incentives to meeting targets for indicators like consultations and immunizations. This led to substantial increases in coverage rates. (3) However, the contracts had less impact on physician motivation and quality of care. Sustainability after the projects also remains a question as the government works to gradually incorporate the schemes. Lessons indicate the need for reliable drug supplies and quality improvements to sustain utilization gains.
