India's Sterilization Incentives

The way India pays its network of community health workers may push patients and workers to favor sterilization over other methods of birth control, public health advocates say.

The health workers must meet government-mandated targets for the number of patients served. Women who choose to be sterilized receive up to $15, while health workers are compensated $3 per woman.

Some health workers offer no other choice, critics say. 86% of Indian women who use modern contraception get sterilized.

“Incentivizing a [community health worker] is not enough,” says Colin Gilmartin of Management Sciences for Health. “They must be adequately trained and supported.”

Source: Devex

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