Concerns exist that performance-based financing (PBF) may erode intrinsic motivation by emphasizing financial incentives, though it could also enhance morale through improved conditions. Using six national pilot evaluations across Cameroon, Kyrgyz Republic, Nigeria, Tajikistan, Zambia, and Zimbabwe, researchers assessed PBF’s effect on health worker motivation and job satisfaction. Results show increased motivation in Nigeria and Kyrgyz Republic, and higher job satisfaction in five of six countries, with no evidence of systematic negative effects. Overall, PBF did not undermine worker motivation or satisfaction and may have positive impacts in certain contexts.
