A recent review of the dental therapy workforce indicated several difficulties facing this profession: the lack of career structure, a narrow scope of practice, outdated facilities and inadequate remuneration.
This variation due to differences in calculation methods, patient groups, but also in local organization and facilities (staff allocation and remuneration, equipment costs, nonclinical support services and premises) [ 10] and (national) healthcare system.
Perceived disincentives for staff in rural health facilities were basically inadequate financial remuneration, lack of career development opportunities and unavailability of social amenities.
It may be assumed from this study that, given adequate facilities, training support and good remuneration, they will be able to give better care to such children.
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.
Community service officers are required to contribute a year towards serving in a public health facility while receiving supervision and remuneration.
Indeed, PBF approach motivates health staff because it encourages autonomy of health facilities, innovations, participatory planning and fair remuneration of staff through performance bonuses [ 4- 6].
