> -wrap-foot> Funds were supposed to be allocated to facilities based on workload.
For example, managers could pool spare HRH in the district, to be allocated to facilities where shortages occurred or if staff leave needed to be covered.
P4P is based on the assumption that health workers respond rationally to incentives, notably monetary rewards combined with additional funds allocated to facilities; more intense supervision and improved information system.
In Malawi, between December 2006 and June 2008, there was a modest (10%) rise in clinical staff (doctors, nurses/nurse-midwives, clinical officers and medical assistants), 127 of 140 (91%) of which were allocated to facilities providing ART (Table 3).
Also points of both sides of the river regarding communicating bridges were allocated to one facility which was not separately locatable to each river side.
The points on both sides of the river regarding communicating bridges were allocated to one facility which was not separately locatable to each river side as shown in Fig. 11.
In turn, managers, who know the broad mix of patients in the hospital, sign with hospital doctors contracts that specify the non-medical resources allocated to this facility as well as some remuneration.
From a sampling frame of all villages in the district with a static reproductive and child health facility (n = 17), six villages were randomly selected using a sampling interval of 3. From this sample of 6 villages, 3 villages were allocated to the facility based arm and 3 villages to the community based arm by ballot.
All MoH facilities with qualified staff were entitled to DFF, with funds allocated to individual facilities on the basis of workload and facility type (health centres received more than dispensaries).
The problem decides which facilities in which pools should be stocked and how the demand should be allocated to stocked facilities, given full inventory sharing between the facilities within each pool so as to minimize the total facility, inventory and transportation costs subject to a time-based service level constraint.
