Researchers evaluated a multi-faceted approach aimed at improving the long-term incomes of the ultra-poor. They found that the approach had long-lasting economic and self-employment impacts and that the long-run benefits, measured in terms of household expenditures, outweighed their up-front costs.

In partnership with the Provincial Government of Kasaï-Central in the Democratic Republic of Congo, researchers conducted a randomized evaluation during the 2018 property tax collection campaign to test the impact of lower property tax rates and stronger tax enforcement on revenue collection. Reducing property tax rates from current levels increased government revenue due to higher tax compliance.

Researchers conducted a randomized evaluation to gauge whether enhanced financial stability impacted worker productivity in India. They found that giving small-scale manufacturing workers financial relief in the form of early wage payments increased their productivity and attention to detail on the job.

Researchers conducted a randomized evaluation to assess how fact-checks regularly sent to participants through WhatsApp can affect their ability to discern false information, as well as their beliefs and attitudes related to topics subject to viral misinformation, particularly Covid-19. Overall, the intervention improved participants’ ability to detect misinformation and somewhat increased their willingness to participate in Covid-19 safety measures, particularly when the intervention was delivered in the form of a short text or a podcast with empathetic language.

Low-income populations throughout the world often consume very few calories. At the time of this intervention in 2013, over 800 million people globally consumed fewer calories than were recommended to maintain a healthy weight. However, the impact of low caloric intake on economic productivity is not well researched. Researchers conducted a five-week randomized evaluation to test the impact of increased caloric intake on hours worked, earnings, and physical and cognitive ability for cycle-rickshaw drivers in Chennai, India. Drivers who consumed daily snacks worked and earned more and performed better on cognitive and physical tasks relative to drivers that received an equivalent value of cash. Supplemental survey data suggests that inaccurate beliefs and knowledge about the returns to calories and the caloric content of food may drive lower than recommended calorie consumption.

In partnership with the Polish Tax Office, researchers conducted a nation-wide randomized evaluation to test the impact of sending tax enforcement letters with behavioral messages on tax compliance among delinquent taxpayers. The results indicate that behavioral letters significantly improved tax compliance relative to the status quo letter, and sending letters by regular mail (the cheaper option) was just as effective as sending via registered mail.

Researchers varied patients’ information about a discount on treatment for simple malaria and measuring take-up of treatment to identify the factors driving overtreatment. While patient pressure on doctors in response to the discount led to excess prescription of antimalarials, there was no evidence of doctors strategically using the vouchers to direct patients toward expensive treatment options.

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.

Poor infrastructure, limited access to medicine, poor service provision, and a lack of accountability often lead to poor health outcomes in many developing countries. Researchers conducted a lab-in-the-field randomized experiment to evaluate patients’ willingness to file complaints against service providers and provider responsiveness to those complaints. Attaching tangible consequences to patient complaints increased provider performance as compared to providing a complaint box.

In Uganda, researchers are evaluating the impact of the “Solar Suitcase” designed specifically for maternity care facilities on the reliability of light, quality of care, and health worker satisfaction.

The Government of Zambia partnered with researchers to test the effect of two different recruitment strategies for a newly created healthcare position, the Community Health Assistant (CHA). One strategy emphasized career opportunities and the other emphasized the contributions one could make in the community. The evaluation found that emphasizing opportunities for career advancement led to the selection of CHAs who were more qualified, had similar community service motivation, performed better on the job, and significantly improved health practices and outcomes in their communities.

In India, researchers evaluated the impact of biometric tracking devices in tuberculosis (TB) care centers on patient adherence to treatment, provider performance, and data quality. Biometric devices increased patient adherence to TB treatment and provider performance.

Researchers tested a fee-for-service scheme, a type of performance pay, at health facilities in the Democratic Republic of Congo to evaluate its impact on health service utilization. While fee-for-service facilities invested more effort in attracting patients, this increase did not translate into higher levels of service utilization or better health outcomes. Additionally, health workers in fee-for-service facilities became less intrinsically motivated and less satisfied with their jobs compared to their counterparts in fixed payment facilities.

A key challenge to achieving universal health coverage is that non-poor informal workers are difficult to enroll and retain in government health insurance programs. Researchers conducted a randomized evaluation to test the impact of various programs, including subsidies, registration assistance and information campaigns on the enrollment and retention of non-poor informal workers in Indonesia’s national health insurance program. Registration assistance and subsidies both increased household enrollment, but overall enrollment rates remained low.