Evaluation
Heavily subsidizing essential health products like insecticide-treated bed nets has the potential to substantially decrease child mortality in sub-Saharan Africa, but there is widespread concern that poor governance and limited accountability among health workers undermines the effectiveness of subsidy programs . Researchers measured the impact of several financial and monitoring incentives on the quality of bed net delivery to pregnant women in Ghana . The incentives had no impact on the quality of delivery. Audits in Ghana, Kenya, and Uganda revealed that around 80 percent of targeted recipients received a bed net subsidy as intended and leakage of products to ineligible recipients was limited. A system change that moved the point of delivery from the clinic to a local shop via vouchers worsened program coverage, reducing the likelihood of a woman receiving a net at her fist visit by 17.8 percentage points.