This summer, I made a project visit to a government clinic in northern Sierra Leone. It is a clinic pretty much in name only, being constructed as 1-bedroom living quarters for a teacher and subsequently converted into a health facility. The nurse took me on a tour, pointing out the problems: a broken scale to weigh infants, no waiting room for early stages of labor, animals grazing and
Service Delivery Arrangements
BEYOND PAY AS MOTIVATOR
Pay reform has been a mainstay of our public sector practice over many years. We have encouraged governments to ‘decompress’ pay, paying more to senior staff whose relative contribution to the public service, we have argued, is not reflected in their pay packets. We have sponsored job evaluation exercises, so that pay is aligned more closely with duties. We have tried to link pay to some measure of performance.