Researchers partnered with the Government of Sierra Leone to evaluate the impact of community monitoring and nonfinancial awards programs on health care utilization and health outcomes. Both programs improved clinic utilization, patient satisfaction, and symptom reporting during the 2014 Ebola crisis. Further, community monitoring improved child health and reduced mortality among Ebola patients.

Researchers introduced a performance recognition system for employees to improve record keeping in clinics in Ekiti and Niger, Nigeria. They found that the performance recognition improved record keeping in Ekiti but not in Niger. Researchers suggested that important institutional, managerial and behavioral variables that were not measured may have played a key role in determining the viability and effectiveness of the intervention in each state.

Researchers conducted a randomized evaluation in Zambia to test the impact of a peer-based information campaign, consisting of SMS messages and small cash incentives, on people’s adherence to Covid-19 health protocols. Participants forwarded public health SMSs when they were encouraged to do so, yet financial incentives did not increase the number of messages sent. Participants and their peers did not change their precautionary health behaviors.

Despite expanding access to sanitary options such as community toilets, many individuals, especially in urban slums, continue to practice open defecation. One potential explanation is that open defecation has become an ingrained habit. Applying lessons from psychology and neuroscience, researchers are evaluating whether a combination of economic incentives and a marketing campaign can foster a new habit—using hygienic latrines instead defecating in the open—among slum dwellers in Kenya.

In India, researchers will evaluate the impact of financial incentives, information, and reminders on treatment regimen compliance among patients of a healthcare provider in the slums of Mumbai.

Researchers partnered with Partners in Health (PIH) to conduct a randomized evaluation to test the impact of monthly coupons and different CHW delivery methods on chlorine usage and child health outcomes in Southern Malawi. They find that the coupon program had stronger impacts on both outcomes and was more cost-effective than having CHWs distribute free chlorine to households during routine monthly visits.