nmi (non-monetary incentive) scheme to improve provider behavior presenters: ms. grishma shrestha,...

NMI (Non-monetary Incentive) Scheme

to improve provider behavior

Presenters: Ms. Grishma Shrestha, Social Franchising Manager

Mr. Pawas Rai, Sector Office Manager

2nd Global SF Conference 23rd Oct 2014

OK Franchise Network Women’s Health Program Since 2009 Network of service providers Private clinic adjoining a

pharmacy Balanced Counseling and

IUCD services 400 approx. in 50 districts

(out of 75)

Why NMI? Motivation

IUCD – “not profitable”- Limited to one product- Time-consuming but limited

income Turnover Complains

- “Support not adequate” - “No sterilization equipments”- Incomplete recording and

reporting – “time-consuming”- QA, community-level activities –

“No time”

Process – Development & Implementation

Need assessment – Issues & Needs

Eligibility Criteria, Scoring Criteria &

Rewards

Scoring & Redemption Mechanism -

Forms & Formats

IEC Materials – Brochure, Scoring

Sheet

System/MISOrientationMonthly Scoring & NotificationMonitoring

Evaluation Improve

Eligibility and Scoring Criteria

Certified Minimum of 50 IUCD insertions

Scoring Criteria Points - several criteria

- QA Assessment scores- Participation in Bhalakusari (community) meetings- Record-keeping and reporting- Display of IEC materials- Behavior Rewards

Scoring Mechanism

Monitored - field staffs Monthly Reward points - observations &

MIS data Maximum points - 148 Multiple rewards

Impact of NMI in 2013Improved indicators

Fewer complaints Improved QA score - from 91.3% to 94.4% Increased % of providers attending Bhalakusari (community) meetings - from

6% to 18% Improved display of IEC materials Increased productivity - average IUCD insertion per provider - from 3.1 to 5.1

Successful in motivating providers

Challenges

Key motivator - monetary but against policy - Appealing non-monetary rewards

Behavior change – not easy & takes time - Monthly notify – points - Continuous motivation – improve performance and earn

better scores

Applicable to other SF Programs?

Next steps

Lesson learnt – Include facility owners