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
