Random unconditional distribution of incentives to half of the physicians.
At the hospital level, it included perceived inequity in distribution of incentives, lack of protection and respect for workers.
The inequitable and variable distribution of incentives between regions and programme was also cited as an important problem in this study, and this has been documented elsewhere [ 40].
It strained relations between health staff, particularly when some felt the distribution of money was unjust or higher qualified staff were ineligible to receive the incentive: "Distribution of incentives to health workers creates tensions especially in cases of home delivery.
However, the perceived equity in the distribution of financial incentives for REDD could also emerge as a critical issue in international negotiations.
Many felt that monitoring the distribution of financial incentives was important, but guidance had been insufficient.
As a consequence, the distribution of financial incentives to prevent unequal spatial accessibility to primary health care may be biased.
Application of the BSC could lead to distribution of financial incentives taking into account all four of the perspectives in a balanced fashion.
As a result, application of this new index is likely to achieve a more equitable distribution of health service incentive funding within rural areas.
Compared with random selection based fixed pricing incentive mechanism, the proposed mechanism not only reduces the incentive cost for retaining the same number of participants but also improves the fairness of incentive distribution and social welfare.
The IPPR says the current "distribution of power and incentives means that local government is left administering a rigid system over which it has little control, while gaining no rewards and facing no penalties for its performance".
