| Abstract: | Improving healthcare services in the developing world remains a major goal for many organizations and despite enormous training and program investments from international organizations, service improvements have been modest. This study looks at how to improve results by examining the relationship between the conditions in a healthcare providers' work environment and his or her performance. Drawing upon a human performance model that assumes that performance expectations, timely feedback, adequate environment, incentives, and skills and knowledge are required for a worker to perform well, this study explores how these conditions might affect healthcare provider performance in four countries. The study successfully shows that although multiple conditions were deficient or missing in every country, significant association is found between the performance of workers and conditions in the workers environment. Further, when viewed across all countries, non‐monetary incentives is the most powerful “predictor‘ of performance when compared with other factors. Of particular interest to Performance Improvement practitioners, knowledge and skills surfaced as important in only three of eight possible cases (with multiple cases in each country)—the least influential factor overall. |
