... with their needs and workload.Informal fees, while increasing financial incentives, mayat the same time lower motivation. In fact, informal pay-ments are a particular form of financial incentive ... confirmed the predominance offinancial incentives in determining health worker motiva-tion and performance [24]. In fact, the relationshipbetween inadequate salaries and the seeking of opportu-nities ... purposes)BackgroundThere is growing evidence that informal payments are, in many low- and middle-income countries, the main sourceof health care financing [1]. In this paper, informal pay-ments will...