Working Papers
Does Performance Evidence Motivate? A Field Experiment in Guinea-Bissau’s Health Sector
abstract
This paper asks whether evidence about an organization’s mission achievement motivates employees. In a randomized field experiment with the Ministry of Public Health of Guinea-Bissau, frontline health workers received credible evidence on their program’s impact on local health indicators. Six months later, treated workers provided 39% more time in direct care to recipients than the control group. Effects are largest where prior beliefs about local health status were inaccurate and over-optimistic, consistent with belief updating. The results suggest that “mission evidence” can be a low-cost lever to improve service delivery performance.
presentations
GIGA | SAEe 2024 | Universidad de Montevideo | Universidad Nacional de La Plata | LACEA-LAMES 2024 | Wageningen University | II Spanish Workshop in Development Economics | NOVAFRICA Conference 2024 | CSAE Conference 2024 | Hong Kong University of Science and Technology | University of Glasgow | Navarra Center for International Development | Imperial College Business School | University of Leicester School of Business | IE University | University of Alicante | NEUDC 2023 at Harvard University | World Bank DIME-KDI School 4th Development Impact Conference | Nova SBE Applied Micro WG Seminar | University of St.Gallen | Oxford Development Economics Workshop (OXDEV) 2023 | Advances with Field Experiments (AFE) 2023 Conference at The University of Chicago | 2023 Annual Conference SITES at University of Naples Parthenope | Royal Economic Society Ph.D. Conference 2023 at The University of Glasgow | Transatlantic Doctoral Conference 2023 at London Business School | Yale-RISE Conference 2022 | NOVAFRICA Conference 2022 | NOVAFRICA Working Group | Lisbon Micro Group
For Honor or for Profit? An Experiment on Recruiting Traditional Health Practitioners for Formal Healthcare
abstract
Sub-Saharan Africa faces substantial health challenges. While the use of the formal health system is limited, Traditional Health Practitioners (THPs) are central to healthcare: they are accessible, entrepreneurial, and share widespread traditional beliefs. We follow a program recruiting THPs to be trained and work as formal health agents. We randomize messages underlining either pro-social (honor) or pro-business (profit) benefits of the program. We find that THPs’ behavioral interest in the program is higher in the pro-business group. This is consistent with THPs’ perceptions about the program and driven by less religious THPs. Higher profits can motivate THPs to approach formal healthcare.
Direct and Indirect Communication Strategies to Deliver Market Information
abstract
Access to timely market information can improve bargaining power in transactions. However, subscription services, requiring users to pay to access market information, reach only a small fraction of the potential market. Employing a randomized clustered control trial across 187 villages in Guinea-Bissau, we evaluate various models for disseminating market information. In about two-thirds of the villages, a focal point appointed by the village receives weekly market updates via phone calls from a team of market analysts based in the capital. These focal points are encouraged to share this information with other producers in their respective villages. Additionally, we randomly allocate half of the focal points with a list of buyers’ contacts to examine whether search barriers impede transactions in this market. In the remaining third of the villages, producers are offered direct access to weekly market updates via robocalls and an Interactive Voice Response (IVR) system through a subscription service. Our study contributes to understanding the role of human intermediaries in facilitating market information access and provides insights for designing effective interventions to enhance market access for small-scale producers.